Healthcare Provider Details

I. General information

NPI: 1134797079
Provider Name (Legal Business Name): SHARON M TOKI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2021
Last Update Date: 06/16/2021
Certification Date: 06/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1963 E PRATER WAY STE 101
SPARKS NV
89434-8938
US

IV. Provider business mailing address

1963 E PRATER WAY STE 101
SPARKS NV
89434-8938
US

V. Phone/Fax

Practice location:
  • Phone: 775-636-6269
  • Fax:
Mailing address:
  • Phone: 775-636-6269
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberNV20141164137
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: