Herndon, Sharon Marie

Herndon, Sharon Marie is an sole proprietor health care provider with primary practice located at 2230 N Reserve St Ste 402 , Missoula MT 59808. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Herndon, Sharon Marie can be contacted via phone (406) 493-3110.

Contact Information

Primary practice address
2230 N Reserve St Ste 402 Missoula MT 59808
Phone: (406) 493-3110
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NUR-APRN-LIC-126404 Montana

Profile Details

NPI number 1558884064
LBN Legal business name Herndon, Sharon Marie
Credentials MSN, RN, CNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2017
Last updated Jun 16th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558884064 NPPES
Montana MEDICAID 1558884064

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