MEDICARE: SHARON CASON-CARD

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1942736277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON CASON-CARD

Provider Business Mailing Address
First Line	:	2411 HICKS RD
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23235-5420
Country	:	US
Telephone Number	:	804-400-9850
Fax Number	:

Provider Business Practice Location Address
First Line	:	2411 HICKS RD
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23235-5420
Country	:	US
Telephone Number	:	804-400-9850
Fax Number	:

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

Provider Enumeration Date	:	05/05/2017
Last Update Date	:	05/05/2017

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