Doctor Name: | MS. SHARON A AUSTIN |
NPI Number: | 1780669309 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | 309000390 |
Business Practice Address: | 200 E 6th St Minonk, IL - 617601308 |
Business Phone Number: | 3094322441 |
Business Fax Number: | 3094323711 |
Mailing Address: | 301 S Bloomington St, STREATOR |
State: | IL |
Postal Code: | 613642904 |
Phone Number: | 8156732441 |
Fax Number: | 8156722178 |
NPI Enumeration Date: | 12/07/2005 |
NPI Last Update Date: | 09/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 309000390 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |