Provider Demographics
NPI:1053697268
Name:HEARN, SHARMEL E (RN, BSN, MSN/MHA)
Entity type:Individual
Prefix:MS
First Name:SHARMEL
Middle Name:E
Last Name:HEARN
Suffix:
Gender:F
Credentials:RN, BSN, MSN/MHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15277 YOUNG ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48205-3662
Mailing Address - Country:US
Mailing Address - Phone:313-977-6884
Mailing Address - Fax:313-371-6477
Practice Address - Street 1:15277 YOUNG ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48205-3662
Practice Address - Country:US
Practice Address - Phone:313-977-6884
Practice Address - Fax:313-371-6477
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-01
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704130553163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health