Healthcare Provider Details

I. General information

NPI: 1538269014
Provider Name (Legal Business Name): SHARON L RYAN CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2006
Last Update Date: 06/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 E STATE ST SUITE G110
ALLIANCE OH
44601-4957
US

IV. Provider business mailing address

200 E STATE ST
ALLIANCE OH
44601-4936
US

V. Phone/Fax

Practice location:
  • Phone: 330-596-7580
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberCOA.03130-NM
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberAPRN51606-MIDWIFE
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: