Provider Demographics
NPI:1437032208
Name:MOLER, SHARON LEANN
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:LEANN
Last Name:MOLER
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 1:713 CALVERT AVE
Mailing Address - Street 2:
Mailing Address - City:ELWOOD
Mailing Address - State:NE
Mailing Address - Zip Code:68937-5219
Mailing Address - Country:US
Mailing Address - Phone:308-320-3069
Mailing Address - Fax:
Practice Address - Street 1:713 CALVERT AVE
Practice Address - Street 2:
Practice Address - City:ELWOOD
Practice Address - State:NE
Practice Address - Zip Code:68937-5219
Practice Address - Country:US
Practice Address - Phone:308-320-3069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEFI11140385HR2065X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child