Healthcare Provider Details

I. General information

NPI: 1598876021
Provider Name (Legal Business Name): SHARON LYNETTE MOTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WOMEN'S HEALTH CENTER CR DAME BUILDING 36000
FORT HOOD TX
76544
US

IV. Provider business mailing address

36000 DARNALL LOOP CARL R DARNALL ARMY MEDICAL CENTER
FORT HOOD TX
76544
US

V. Phone/Fax

Practice location:
  • Phone: 254-288-8521
  • Fax: 254-286-7327
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number5870405
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: