Healthcare Provider Details

I. General information

NPI: 1982935136
Provider Name (Legal Business Name): SHARON L WOODS CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2010
Last Update Date: 01/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1346 MARGO LN
COLORADO SPRINGS CO
80909-3053
US

IV. Provider business mailing address

1346 MARGO LN
COLORADO SPRINGS CO
80909-3053
US

V. Phone/Fax

Practice location:
  • Phone: 719-210-3961
  • Fax:
Mailing address:
  • Phone: 719-210-3961
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number729447
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: