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Individual

SHARON L STOCKWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
34851 KENAI SPUR HWY STE 7, SOLDOTNA, AK 99669-7646
(907) 262-1900
Mailing address
34851 KENAI SPUR HWY STE 7, SOLDOTNA, AK 99669-7646
(907) 262-1900

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP-03878
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2179584
OH
Enumeration date
10/24/2007
Last updated
10/12/2022
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