Basic Information
| Provider Information | |||||||||
| NPI: | 1457410938 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WEEDEN | ||||||||
| FirstName: | SHARON | ||||||||
| MiddleName: | ANN | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5360 OGAN RD | ||||||||
| Address2: | |||||||||
| City: | CARPINTERIA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 930131541 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6623223883 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 4444 CALLE REAL | ||||||||
| Address2: | |||||||||
| City: | SANTA BARBARA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 931101002 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8056815190 | ||||||||
| FaxNumber: | 8056815239 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/08/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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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 | 163WP0807X | 667332 | CA | Y | Nursing Service Providers | Registered Nurse | Psych/Mental Health, Child & Adolescent | 163WP0807X | R857968 | LA | N | Nursing Service Providers | Registered Nurse | Psych/Mental Health, Child & Adolescent |
No ID Information.