Healthcare Provider Details

I. General information

NPI: 1710897061
Provider Name (Legal Business Name): SHARON WHITE
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

4005 MOORPARK CT APT A100
SUN VALLEY NV
89433-0823
US

IV. Provider business mailing address

4005 MOORPARK CT APT A100
SUN VALLEY NV
89433-0823
US

V. Phone/Fax

Practice location:
  • Phone: 775-507-1786
  • Fax:
Mailing address:
  • Phone: 775-507-1786
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: