Provider Demographics
NPI:1245485044
Name:COONEY, SHARON LOUISE (RN, COHN)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:LOUISE
Last Name:COONEY
Suffix:
Gender:F
Credentials:RN, COHN
Other - Prefix:MISS
Other - First Name:SHARON
Other - Middle Name:LOUISE
Other - Last Name:SWISHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1579 BROOKE DR
Mailing Address - Street 2:APT. E
Mailing Address - City:CREEDMOOR
Mailing Address - State:NC
Mailing Address - Zip Code:27522-7365
Mailing Address - Country:US
Mailing Address - Phone:814-594-6600
Mailing Address - Fax:
Practice Address - Street 1:4112 OLD OXFORD RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27712
Practice Address - Country:US
Practice Address - Phone:919-479-8999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-20
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC220722163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse