Healthcare Provider Details

I. General information

NPI: 1821924747
Provider Name (Legal Business Name): SHARON JOY MONASMITH CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16868 QUARTZ LN
WILDER ID
83676-5857
US

IV. Provider business mailing address

16868 QUARTZ LN
WILDER ID
83676-5857
US

V. Phone/Fax

Practice location:
  • Phone: 208-800-9158
  • Fax:
Mailing address:
  • Phone: 208-800-9158
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: