MEDICARE: SHARON W. FROESE APRN./CNM

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
1	367A00000X	Advanced Practice Midwife	9223502	FL
2	367A00000X	Advanced Practice Midwife	APRN000571	NV
3	163W00000X	Registered Nurse	RN34302	NV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	BT257Z	OTHER	FL	MEDICARE PTAN

Other Identifiers

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

General Provider Information

NPI Number	:	1457546707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON W. FROESE APRN./CNM

Provider Business Mailing Address
First Line	:	PO BOX 15645
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89114-5645
Country	:	US
Telephone Number	:	702-579-3272
Fax Number	:

Provider Business Practice Location Address
First Line	:	2225 CIVIC CENTER DR
Second Line	:	STE. 230
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-6338
Country	:	US
Telephone Number	:	702-854-2953
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2007
Last Update Date	:	12/21/2015

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