Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LN0000X | Nurse Practitioner - Neonatal | 162077 | CA |
Y | 363LN0000X | Nurse Practitioner - Neonatal | R162245-8 | MN |
N | 363LN0000X | Nurse Practitioner - Neonatal | RN092587 | AZ |
NPI | 1225090335 |
---|---|
Provider Name | Sharilyn Ann Abshire |
First Address | Minneapolis, MN 55440-0043 |
Second Address | Coon Rapids, MN 55433-2522 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2006 |
Last Update Date | 08/07/2007 |