Individual
SHARON THULON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1118 F STREET, LEWISTON, ID 83501
(208) 799-4440
(208) 799-5171
Mailing address
PO BOX B, LEWISTON, ID 83501-0182
(208) 799-4440
(208) 799-5171
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
N21563
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N-21563
N21563
ID
Enumeration date
09/01/2016
Last updated
09/01/2016
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