Healthcare Provider Details

I. General information

NPI: 1336129865
Provider Name (Legal Business Name): SHARON KAY OGLESBEE RN-FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 11/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

504 E HOSPITAL ST
SAN AUGUSTINE TX
75972-2122
US

IV. Provider business mailing address

504 E HOSPITAL ST
SAN AUGUSTINE TX
75972-2122
US

V. Phone/Fax

Practice location:
  • Phone: 936-275-9716
  • Fax: 936-275-9059
Mailing address:
  • Phone: 936-275-9716
  • Fax: 936-275-9059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number505965
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: