Provider Demographics
NPI:1164236584
Name:MOSETI, SHARON KWAMBOKA (RN)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:KWAMBOKA
Last Name:MOSETI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3030 HOLMES AVE S UNIT 236
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-5131
Mailing Address - Country:US
Mailing Address - Phone:763-321-4968
Mailing Address - Fax:
Practice Address - Street 1:3030 HOLMES AVE S UNIT 236
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-5131
Practice Address - Country:US
Practice Address - Phone:763-321-4968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2429401163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health