Provider Demographics
NPI:1831213875
Name:CHILDERS, SHARON M (RN, BSN)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:M
Last Name:CHILDERS
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 W OCOTILLO RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85013-1236
Mailing Address - Country:US
Mailing Address - Phone:602-664-7600
Mailing Address - Fax:602-664-7699
Practice Address - Street 1:225 W OCOTILLO RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-1236
Practice Address - Country:US
Practice Address - Phone:602-664-7600
Practice Address - Fax:602-664-7699
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN044343163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse