| Doctor Name: | MRS. SHARON KATHLEEN ETHEREDGE |
| NPI Number: | 1043421332 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD CDE |
| License Number: | 817145 |
| Business Practice Address: | 505 E Plaza Drive Chw Marian Medical Center Santa Maria, CA - 93454 |
| Business Phone Number: | 8057393791 |
| Business Fax Number: | 8056142011 |
| Mailing Address: | 718 E Sunset Ave, SANTA MARIA |
| State: | CA |
| Postal Code: | 93454 |
| Phone Number: | 8053493497 |
| Fax Number: | |
| NPI Enumeration Date: | 05/25/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133VN1006X |
| License Number: | 817145 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | Nutrition, Metabolic |
| Taxonomy Definition: | |