Provider Demographics
NPI:1306239421
Name:HEPWORTH, SHARON (APN, RXN)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:
Last Name:HEPWORTH
Suffix:
Gender:F
Credentials:APN, RXN
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:
Other - Last Name:KORNBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:8892 E 24TH PL UNIT 104
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-2871
Mailing Address - Country:US
Mailing Address - Phone:303-908-6159
Mailing Address - Fax:
Practice Address - Street 1:8892 E 24TH PL UNIT 104
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238-2871
Practice Address - Country:US
Practice Address - Phone:303-908-6159
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-13
Last Update Date:2024-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN138355163W00000X
CORN.1631874163W00000X
COAPN.0999454363LP0808X
CORXN.0108518363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse