Provider Demographics
NPI:1063926269
Name:STOCK, SHARON NAJMEH (RN)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:NAJMEH
Last Name:STOCK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:SHARON
Other - Middle Name:NAJMEH
Other - Last Name:HARDWICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:364 N SHATTUCK PL
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92866-1231
Mailing Address - Country:US
Mailing Address - Phone:818-285-9312
Mailing Address - Fax:
Practice Address - Street 1:1725 W 17TH ST
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92706-2316
Practice Address - Country:US
Practice Address - Phone:714-824-9017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-27
Last Update Date:2017-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95105135163WC1500X, 163WL0100X, 163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant