Provider Demographics
NPI:1447252176
Name:WILLIAMS, SHARNA R (CNM/ NP)
Entity type:Individual
Prefix:MRS
First Name:SHARNA
Middle Name:R
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:CNM/ NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32519 BERGAMO CT
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-3885
Mailing Address - Country:US
Mailing Address - Phone:951-303-3687
Mailing Address - Fax:
Practice Address - Street 1:325 N BRANDON RD
Practice Address - Street 2:SUITE D
Practice Address - City:FALLBROOK
Practice Address - State:CA
Practice Address - Zip Code:92028-2253
Practice Address - Country:US
Practice Address - Phone:760-728-4561
Practice Address - Fax:760-728-6094
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1565176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife