Healthcare Provider Details

I. General information

NPI: 1265576094
Provider Name (Legal Business Name): SHARON K HOBSON CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 GUILFORD AVE FL 2
BALTIMORE MD
21202-3621
US

IV. Provider business mailing address

210 GUILFORD AVE FL 2
BALTIMORE MD
21202-3621
US

V. Phone/Fax

Practice location:
  • Phone: 410-396-3185
  • Fax: 410-545-6636
Mailing address:
  • Phone: 410-396-3185
  • Fax: 410-545-6636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberR070337
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: