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NPI Code Detail

MEDICARE: MS. SHAROLYN LIANE MCCLURG RN, CNP

MEDICARE: MS. SHAROLYN LIANE MCCLURG RN, CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse PractitionerAP2145AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245231042
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHAROLYN LIANE MCCLURG RN, CNP
Provider Business Mailing Address
First Line : 1393 W ORIOLE WAY
Second Line :
City : CHANDLER
State : AZ
Zip : 85248-3161
Country : US
Telephone Number : 480-659-7596
Fax Number :
Provider Business Practice Location Address
First Line : 2025 N 3RD ST
Second Line : SUITE 170
City : PHOENIX
State : AZ
Zip : 85004-1471
Country : US
Telephone Number : 602-462-1132
Fax Number : 602-462-1186
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2005
Last Update Date : 08/13/2007

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