Healthcare Provider Details

I. General information

NPI: 1780597682
Provider Name (Legal Business Name): SHARON ANN GUTHRIE MSN, RN, PHN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

941 SPRING ST STE 3
PLACERVILLE CA
95667-4546
US

IV. Provider business mailing address

941 SPRING ST STE 3
PLACERVILLE CA
95667-4546
US

V. Phone/Fax

Practice location:
  • Phone: 530-621-6236
  • Fax: 530-653-2092
Mailing address:
  • Phone: 530-621-6236
  • Fax: 530-653-2092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number321120
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: