| Doctor Name: | MS. SHARI LIGGETT KOVNER |
| NPI Number: | 1629113717 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RNFNP |
| License Number: | 258327 |
| Business Practice Address: | 3802 Main St. Occidental, CA - 95465 |
| Business Phone Number: | 7078742444 |
| Business Fax Number: | |
| Mailing Address: | Po Box 65, OCCIDENTAL |
| State: | CA |
| Postal Code: | 954650065 |
| Phone Number: | 7078743162 |
| Fax Number: | |
| NPI Enumeration Date: | 02/20/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 258327 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |