Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NN1001X | Nutrition | 3630-012 | WI |
Y | 111NN1001X | Nutrition | CH7848 | FL |
NPI | 1447309588 |
---|---|
Provider Name | Dr. Sharon Kay Mccray |
First Address | Palm Harbor, FL 34684-1929 |
Second Address | Palm Harbor, FL 34684-1929 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2007 |
Last Update Date | 10/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1710176722 | RAILROAD MEDICARE (01) | WI |
350050645 | RAILROAD MEDICARE NPI (01) | WI |
38928700 | (05) | WI |
U82451 | (02) | WI |