Provider Demographics
NPI:1386993236
Name:STRONG, SHARON MARIE
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:MARIE
Last Name:STRONG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18457 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546-1637
Mailing Address - Country:US
Mailing Address - Phone:510-886-2448
Mailing Address - Fax:510-886-5992
Practice Address - Street 1:18457 MADISON AVE
Practice Address - Street 2:
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546-1637
Practice Address - Country:US
Practice Address - Phone:510-886-2448
Practice Address - Fax:510-886-5992
Is Sole Proprietor?:No
Enumeration Date:2012-09-06
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374T00000XNursing Service Related ProvidersReligious Nonmedical Nursing Personnel
No376G00000XNursing Service Related ProvidersNursing Home Administrator