Basic Information
| Provider Information | |||||||||
| NPI: | 1144220468 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | INMAN | ||||||||
| FirstName: | SHARON | ||||||||
| MiddleName: | ANN | ||||||||
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| Credential: | N.P. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4520 S US HIGHWAY 281 | ||||||||
| Address2: | |||||||||
| City: | BLANCO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 786065205 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8308330510 | ||||||||
| FaxNumber: | 8308334307 | ||||||||
| Practice Location | |||||||||
| Address1: | 4520 S US HIGHWAY 281 | ||||||||
| Address2: | |||||||||
| City: | BLANCO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 786065205 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8308330510 | ||||||||
| FaxNumber: | 8308334307 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/28/2005 | ||||||||
| LastUpdateDate: | 09/15/2016 | ||||||||
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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 | 363L00000X | 445206 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
ID Information
| ID | Type | State | Issuer | Description | 167256001 | 05 | TX | MEDICAID | 8Y0013 | 01 | TX | BCBS OF TX | OTHER | 167256003 | 05 | TX | MEDICAID | 8N7089 | 01 | TX | BLUE CROSS BLUE SHIELD | OTHER |