Provider Demographics
NPI:1366089542
Name:HIER, SHARRON (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:SHARRON
Middle Name:
Last Name:HIER
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18652 W LARKSPUR DR
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-7484
Mailing Address - Country:US
Mailing Address - Phone:623-889-4797
Mailing Address - Fax:
Practice Address - Street 1:1840 N 95TH AVE STE 146
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037-4446
Practice Address - Country:US
Practice Address - Phone:623-234-9811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-05
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN164922363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health