Healthcare Provider Details

I. General information

NPI: 1629563655
Provider Name (Legal Business Name): SHARRON WARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2018
Last Update Date: 08/28/2020
Certification Date: 08/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 FULTON AVE
CINCINNATI OH
45206-2504
US

IV. Provider business mailing address

3537 EVANSTON AVE
CINCINNATI OH
45207-1233
US

V. Phone/Fax

Practice location:
  • Phone: 513-961-4663
  • Fax: 513-961-4681
Mailing address:
  • Phone: 513-546-2404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.480081
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN.480081
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: