Provider Demographics
NPI:1942026331
Name:MICHAEL, SHARON LYN (HHA)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:LYN
Last Name:MICHAEL
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:934 SAXON AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44314-2919
Mailing Address - Country:US
Mailing Address - Phone:330-414-5742
Mailing Address - Fax:
Practice Address - Street 1:934 SAXON AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44314-2919
Practice Address - Country:US
Practice Address - Phone:330-414-5742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide