Shari-Jean L. V. Hafner, MD

Individual provider Active NPI General Practice Physician · Wpafb, OH

NPI 1235690157 · NPPES record last updated Jun 8, 2026

Key facts

NPI
1235690157
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Physician 208D00000X
License
33142 (NE)
Practice address
4881 Sugar Maple Dr
Wpafb, OH 45433-5529
Phone
(937) 938-2744
NPI assigned
Mar 26, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33142NEMDGeneral Practice Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 33142 NE Yes
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4881 Sugar Maple Dr
Wpafb, OH 45433-5529

Mailing address

4881 Sugar Maple Dr
Wpafb, OH 45433-5529

Other providers in Wpafb, OH

All providers in Wpafb, OH · General Practice Physician in Ohio

Sources for this page

Verify at the official NPI Registry.