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NPI Code Detail

MEDICARE: SHARON PARKER

MEDICARE:   SHARON  PARKER
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
1164W00000XLicensed Practical Nurse285251-1NY

General Provider Information

NPI Number : 1902064835
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON PARKER
Provider Business Mailing Address
First Line : 1807 CLINTON AVE
Second Line : APT. 2G
City : BRONX
State : NY
Zip : 10457-6747
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1807 CLINTON AVE
Second Line : APT. 2G
City : BRONX
State : NY
Zip : 10457-6747
Country : US
Telephone Number : 718-901-2971
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2008
Last Update Date : 05/28/2008

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Directions to “ SHARON PARKER ” Practice Location

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