Provider Demographics
NPI:1386803955
Name:STILLS, SHARON (NMD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:
Last Name:STILLS
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7904 E CHAPARRAL RD STE A110-442
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85250-7367
Mailing Address - Country:US
Mailing Address - Phone:520-308-5040
Mailing Address - Fax:516-935-1342
Practice Address - Street 1:7904 E CHAPARRAL RD STE A110-442
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85250-7367
Practice Address - Country:US
Practice Address - Phone:520-308-5040
Practice Address - Fax:516-935-1342
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-08
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ02-685175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath