Basic Information
| Provider Information | |||||||||
| NPI: | 1043265176 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FEY | ||||||||
| FirstName: | SHARON | ||||||||
| MiddleName: | K | ||||||||
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| Credential: | PA C | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1444 | ||||||||
| Address2: | |||||||||
| City: | SIOUX CITY | ||||||||
| State: | IA | ||||||||
| PostalCode: | 51102 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7122557746 | ||||||||
| FaxNumber: | 7122550829 | ||||||||
| Practice Location | |||||||||
| Address1: | 700 4TH STREET | ||||||||
| Address2: | STE 410 | ||||||||
| City: | SIOUX CITY | ||||||||
| State: | IA | ||||||||
| PostalCode: | 51101 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7122557746 | ||||||||
| FaxNumber: | 7122550829 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/24/2006 | ||||||||
| LastUpdateDate: | 05/29/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RN0300X | 001658 | IA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
No ID Information.