MEDICARE: SHARON BEGIN FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	7840016-4405	UT
2	363LF0000X	Family Nurse Practitioner	APN.0993663-NP	CO

General Provider Information

NPI Number	:	1356565733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON BEGIN FNP

Provider Business Mailing Address
First Line	:	3420 HONEYBURYL DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-4723
Country	:	US
Telephone Number	:	804-363-7400
Fax Number	:

Provider Business Practice Location Address
First Line	:	3420 HONEYBURYL DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-4723
Country	:	US
Telephone Number	:	804-363-7400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2007
Last Update Date	:	01/12/2019

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