Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | NP-09341 | OH |
NPI | 1003035395 |
---|---|
Provider Name | Mrs. Sharon Romaine Ward |
First Address | Mason, OH 45040-7745 |
Second Address | West Chester, OH 45069-4874 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2007 |
Last Update Date | 08/07/2007 |