Sharon Staten Brashear, CNM
Individual provider Active NPI Maternal Newborn Registered Nurse · Suffolk, VA
NPI 1407024359 · NPPES record last updated Feb 13, 2008
Key facts
- NPI
- 1407024359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Maternal Newborn Registered Nurse 163WM0102X
- License
- 0024167096 (VA)
- Practice address
- 6701 Lake Cove CT
Suffolk, VA 23435-2933 - Phone
- (757) 686-0636
- NPI assigned
- Feb 13, 2008
- 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
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024167096 | VA | MD | Maternal Newborn Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal Newborn Registered Nurse | 163WM0102X | 0024167096 | VA | Yes |
Addresses
Primary practice location
6701 Lake Cove CT
Suffolk, VA 23435-2933
Mailing address
6701 Lake Cove CT
Suffolk, VA 23435-2933
Phone (757) 686-0636
Other providers in Suffolk, VA
- Persephanie Brack
- Cassandra Bradford
- Brainbridge Connect LLC
- Carlos D Branch
- Branchaud Behavioral Therapy
- Stefan Friedrich Brecke
- Andrea Breckner
- Brandi Robin Brehon
- Kelli Charlene Brezovic
- Brian Cross LLC Dba Crosscare Logistics
All providers in Suffolk, VA · Maternal Newborn Registered Nurse in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.