Provider Demographics
NPI:1881353084
Name:FLOBERG, SHARON KAE
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:KAE
Last Name:FLOBERG
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 1:475 3RD ST E
Mailing Address - Street 2:
Mailing Address - City:WESTHOPE
Mailing Address - State:ND
Mailing Address - Zip Code:58793-4101
Mailing Address - Country:US
Mailing Address - Phone:701-245-6197
Mailing Address - Fax:
Practice Address - Street 1:475 3RD ST E
Practice Address - Street 2:
Practice Address - City:WESTHOPE
Practice Address - State:ND
Practice Address - Zip Code:58793-4101
Practice Address - Country:US
Practice Address - Phone:701-245-6197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-15
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant