Provider Demographics
NPI:1689016974
Name:STRUTZ-NORTON, SHARON LOU (RN)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:LOU
Last Name:STRUTZ-NORTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61025 OHLSON MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:HOMER
Mailing Address - State:AK
Mailing Address - Zip Code:99603-9026
Mailing Address - Country:US
Mailing Address - Phone:907-399-8065
Mailing Address - Fax:
Practice Address - Street 1:61025 OHLSON MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:HOMER
Practice Address - State:AK
Practice Address - Zip Code:99603-9026
Practice Address - Country:US
Practice Address - Phone:907-399-8065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-26
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK7737163W00000X
AZ163284163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse