Healthcare Provider Details

I. General information

NPI: 1700327699
Provider Name (Legal Business Name): SONIA SHARMA CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2017
Last Update Date: 05/20/2020
Certification Date: 05/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 STRYKERS RD STE 1
PHILLIPSBURG NJ
08865-9488
US

IV. Provider business mailing address

185 ROSEBERRY ST FARLEY BLDG 2ND FLOOR
PHILLIPSBURG NJ
08865
US

V. Phone/Fax

Practice location:
  • Phone: 908-847-6568
  • Fax: 866-278-3009
Mailing address:
  • Phone: 908-847-6568
  • Fax: 866-278-3009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ00692700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: