Individual
SHARON K HERNLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, ANP, CGNP
Contact information
Practice address
18731 N REEMS RD, #680, SURPRISE, AZ 85374
(623) 975-0592
(623) 975-0750
Mailing address
13634 N 93RD AVE, #100, PEORIA, AZ 85381
(623) 933-0301
(623) 933-0224
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
RN098246
AZ
363LG0600X
Gerontology Nurse Practitioner
RN098246
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
726664
—
AZ
01
—
RN098246
STATE LICENSE
AZ
Enumeration date
10/14/2005
Last updated
03/07/2023
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