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NPI Code Detail

MEDICARE: MS. CATHERINE ANN HEALY SHARBAUGH CRNP

MEDICARE: MS. CATHERINE ANN HEALY SHARBAUGH CRNP
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
1363LF0000XFamily Nurse PractitionerSP001892BPA
2363LF0000XFamily Nurse Practitioner334022NY

General Provider Information

NPI Number : 1689858912
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CATHERINE ANN HEALY SHARBAUGH CRNP
Provider Business Mailing Address
First Line : 171 GRACE CHURCH ST
Second Line :
City : RYE
State : NY
Zip : 10580-4211
Country : US
Telephone Number : 610-220-6242
Fax Number :
Provider Business Practice Location Address
First Line : 2101 41ST AVE
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11101-4801
Country : US
Telephone Number : 718-784-2240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2007
Last Update Date : 02/21/2023

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