Healthcare Provider Details

I. General information

NPI: 1043711369
Provider Name (Legal Business Name): SHARON MICHELLE HARKEY CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHARON MICHELLE KOEHN CNM

II. Dates (important events)

Enumeration Date: 02/22/2018
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9850 GENESEE AVE STE 600
LA JOLLA CA
92037-1207
US

IV. Provider business mailing address

10790 RANCHO BERNARDO RD # 4S-205
SAN DIEGO CA
92127-5705
US

V. Phone/Fax

Practice location:
  • Phone: 858-554-7700
  • Fax:
Mailing address:
  • Phone: 858-554-9100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number9968
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number1332
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number438121
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: