Individual
SHARON MAYBERRY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
218 OLD MOCKSVILLE RD, STATESVILLE, NC 28625-1930
(704) 873-0281
(704) 838-7261
Mailing address
244 MIDWAY RD, STATESVILLE, NC 28625-8894
(704) 876-3899
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
047490
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051044/8000282
—
NC
Enumeration date
04/19/2006
Last updated
03/03/2011
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