Healthcare Provider Details

I. General information

NPI: 1447252176
Provider Name (Legal Business Name): SHARNA R WILLIAMS CNM/ NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2005
Last Update Date: 09/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 N BRANDON RD SUITE D
FALLBROOK CA
92028-2253
US

IV. Provider business mailing address

32519 BERGAMO CT
TEMECULA CA
92592-3885
US

V. Phone/Fax

Practice location:
  • Phone: 760-728-4561
  • Fax: 760-728-6094
Mailing address:
  • Phone: 951-303-3687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number1565
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: