Doctor Name: | MRS. SHARI LYNN MOLERA |
NPI Number: | 1932349438 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN069157 |
Business Practice Address: | 32919 W Center St Wittmann, AZ - 853619433 |
Business Phone Number: | 6233882321 |
Business Fax Number: | |
Mailing Address: | 32919 W Center St, WITTMANN |
State: | AZ |
Postal Code: | 853619433 |
Phone Number: | 6233882321 |
Fax Number: | |
NPI Enumeration Date: | 02/24/2009 |
NPI Last Update Date: | 02/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | RN069157 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |