Individual
SHARON MARIE HERNDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, CNP
Contact information
Practice address
2230 N RESERVE ST STE 402, MISSOULA, MT 59808
(406) 493-3110
Mailing address
2230 N RESERVE ST STE 402, MISSOULA, MT 59808-1364
(406) 493-3110
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NUR-APRN-LIC-126404
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558884064
—
MT
Enumeration date
07/18/2017
Last updated
06/16/2018
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