Individual
MS. SHARON A HERTLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
677A EAST MAIN, CENTREVILLE, MI 49032
(269) 467-1000
Mailing address
677A EAST MAIN, CENTREVILLE, MI 49032
(269) 467-1000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704268388
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1708146
—
MI
Enumeration date
11/17/2008
Last updated
07/29/2009
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