Provider Demographics
NPI:1679311658
Name:CISNEROS, SHARON (RN)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:CISNEROS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:SHARON
Other - Middle Name:
Other - Last Name:CISNEROS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:2701 S 77 SUNSHINESTRIP
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8318
Mailing Address - Country:US
Mailing Address - Phone:956-444-3770
Mailing Address - Fax:
Practice Address - Street 1:2701 S 77 SUNSHINESTRIP
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8318
Practice Address - Country:US
Practice Address - Phone:956-444-3770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX525851163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management