Healthcare Provider Details

I. General information

NPI: 1326978024
Provider Name (Legal Business Name): SHARON FAIRWEATHER RN, CRNP, DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1451 ROCKVILLE PIKE STE 250-270
ROCKVILLE MD
20852-1486
US

IV. Provider business mailing address

1451 ROCKVILLE PIKE STE 250-270
ROCKVILLE MD
20852-1486
US

V. Phone/Fax

Practice location:
  • Phone: 240-249-5510
  • Fax:
Mailing address:
  • Phone: 240-249-5510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR231962
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: