Healthcare Provider Details

I. General information

NPI: 1346239068
Provider Name (Legal Business Name): SHARION LEONNA STONE-ULRICH CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHARI STONE-ULRICH

II. Dates (important events)

Enumeration Date: 10/14/2005
Last Update Date: 07/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3343 4TH AVE
SAN DIEGO CA
92103-5703
US

IV. Provider business mailing address

3343 4TH AVE
SAN DIEGO CA
92103-5703
US

V. Phone/Fax

Practice location:
  • Phone: 619-299-0840
  • Fax: 619-299-0892
Mailing address:
  • Phone: 619-757-6277
  • Fax: 619-291-5098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number2033
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: