Healthcare Provider Details

I. General information

NPI: 1134526684
Provider Name (Legal Business Name): KATHARINE SHARBY RN, LICSW, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/28/2014
Last Update Date: 07/09/2020
Certification Date: 07/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 LENOX ST
NORWOOD MA
02062-3416
US

IV. Provider business mailing address

190 LENOX STREET
NORWOOD MA
02026-1390
US

V. Phone/Fax

Practice location:
  • Phone: 781-769-8670
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2020007335
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number118062
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN2321886
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: