Provider Demographics
NPI:1538207774
Name:CUMMINGS, SHARON PETIT (RNFA)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:PETIT
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1247 WESTRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-1457
Mailing Address - Country:US
Mailing Address - Phone:805-650-3476
Mailing Address - Fax:805-650-3476
Practice Address - Street 1:1247 WESTRIDGE DR
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-1457
Practice Address - Country:US
Practice Address - Phone:805-650-3476
Practice Address - Fax:805-650-3476
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN 377135163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant