Healthcare Provider Details

I. General information

NPI: 1073747192
Provider Name (Legal Business Name): SHARON ANN CURTIS M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2009
Last Update Date: 05/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3073 COUNTY ROAD F
BARNEVELD WI
53507-9776
US

IV. Provider business mailing address

3073 COUNTY ROAD F
BARNEVELD WI
53507-9776
US

V. Phone/Fax

Practice location:
  • Phone: 608-437-3912
  • Fax: 608-437-3912
Mailing address:
  • Phone: 608-437-3912
  • Fax: 608-437-3912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1694-125
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: