Healthcare Provider Details

I. General information

NPI: 1669615837
Provider Name (Legal Business Name): SHARLYN ANN LADNER RN,BSN,CNOR,RNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2009
Last Update Date: 04/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 MAGNOLIA ST
ARLINGTON TX
76012-3922
US

IV. Provider business mailing address

402 MAGNOLIA ST
ARLINGTON TX
76012-3922
US

V. Phone/Fax

Practice location:
  • Phone: 817-274-8331
  • Fax:
Mailing address:
  • Phone: 817-274-8331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number509924
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: