1043898851 NPI number — LA'SHONDA MECHEL SHARBLE NP-BC, MSN, BS, RN

Table of content: LA'SHONDA MECHEL SHARBLE NP-BC, MSN, BS, RN (NPI 1043898851)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043898851 NPI number — LA'SHONDA MECHEL SHARBLE NP-BC, MSN, BS, RN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SHARBLE
Provider First Name:
LA'SHONDA
Provider Middle Name:
MECHEL
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
NP-BC, MSN, BS, RN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SHARBLE
Provider Other First Name:
L.
Provider Other Middle Name:
MECHEL
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
NP-BC, MSN, BS, RN
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1043898851
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/01/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1691 THE ALAMEDA
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN JOSE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95126-2203
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
430 N PALORA AVE STE G
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YUBA CITY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95991-4729
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
877-855-7526
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/01/2021

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LW0102X , with the licence number:  95016896 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com