Provider Demographics
NPI:1871304543
Name:ALLSBROOK, SHARINA VERNELL
Entity type:Individual
Prefix:
First Name:SHARINA
Middle Name:VERNELL
Last Name:ALLSBROOK
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 1:7201 NW 122ND ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73142-3619
Mailing Address - Country:US
Mailing Address - Phone:405-651-2553
Mailing Address - Fax:
Practice Address - Street 1:7201 NW 122ND ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73142-3619
Practice Address - Country:US
Practice Address - Phone:405-651-2553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist