Provider Demographics
NPI:1912704164
Name:ANDERSEN, SHARON ANN
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:ANN
Last Name:ANDERSEN
Suffix:
Gender:
Credentials:
Other - Prefix:MISS
Other - First Name:SHARON
Other - Middle Name:ANN
Other - Last Name:MITCHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18316 18TH ST
Mailing Address - Street 2:
Mailing Address - City:PLATTSMOUTH
Mailing Address - State:NE
Mailing Address - Zip Code:68048-8682
Mailing Address - Country:US
Mailing Address - Phone:402-679-7033
Mailing Address - Fax:
Practice Address - Street 1:18316 18TH ST
Practice Address - Street 2:
Practice Address - City:PLATTSMOUTH
Practice Address - State:NE
Practice Address - Zip Code:68048-8682
Practice Address - Country:US
Practice Address - Phone:402-679-7033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion