Provider Demographics
NPI:1912870874
Name:SITIENEI, SHARON CHEPKOECH
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:CHEPKOECH
Last Name:SITIENEI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:CHEPKOECH
Other - Last Name:SOI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:22428 LANSE ST
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48081-1369
Mailing Address - Country:US
Mailing Address - Phone:915-838-5444
Mailing Address - Fax:
Practice Address - Street 1:22428 LANSE ST
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48081-1369
Practice Address - Country:US
Practice Address - Phone:915-838-5444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-26
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704417906163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse