NAOMI SHARON FNP
NPI 1073978862
Nurse Practitioner - Adult Health in Fenton, MO
Active since December 21, 2015
1101 BOWLES AVENUE, SUITE G50, FENTON, MO 63026(636) 496-4600(636) 496-4961 Get Directions Write a Review
About Naomi Sharon Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NAOMI SHARON FNP (NPI 1073978862) is an individual adult health provider in Fenton, Missouri, licensed in Missouri (2015023434) and active in the NPI registry since December 2015.
NPPES Registry Identity
NPI1073978862
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameNAOMI SHARONCredential: FNP
Location Address1101 BOWLES AVENUE, SUITE G50Fenton, MO 63026
Mailing AddressPo Box 955534Saint Louis, MO 63195-5534
Phone(636) 496-4600
Fax(636) 496-4961
Sole ProprietorNo
Enumeration DateDecember 21, 2015
Last NPPES UpdateNovember 24, 20202 updates tracked since enumeration
NPPES CertifiedNovember 24, 2020
✔ NPI 1073978862 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MO · 2015023434
1101 BOWLES AVENUE, Fenton, MO 63026
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073978862, enumerated as an "individual" on December 21, 2015.
The provider is located at 1101 BOWLES AVENUE SUITE G50 FENTON, MO 63026 and the phone number is (636) 496-4600.
Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.
