Individual
NAOMI SHARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1101 BOWLES AVENUE, SUITE G50, FENTON, MO 63026
(636) 496-4600
(636) 496-4961
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2015023434
MO
Other
Enumeration date
12/21/2015
Last updated
11/24/2020
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