Provider Demographics
NPI:1366596231
Name:O'CONNOR, SHARON K
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:K
Last Name:O'CONNOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 CLIFF ST
Mailing Address - Street 2:
Mailing Address - City:LANDER
Mailing Address - State:WY
Mailing Address - Zip Code:82520-3239
Mailing Address - Country:US
Mailing Address - Phone:307-332-2774
Mailing Address - Fax:
Practice Address - Street 1:725 CLIFF ST
Practice Address - Street 2:
Practice Address - City:LANDER
Practice Address - State:WY
Practice Address - Zip Code:82520-3239
Practice Address - Country:US
Practice Address - Phone:307-332-2774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator