Healthcare Provider Details

I. General information

NPI: 1396736229
Provider Name (Legal Business Name): SHARON N GARBER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1076 N MAIN ST
PROVIDENCE RI
02904-5760
US

IV. Provider business mailing address

1076 N MAIN ST
PROVIDENCE RI
02904-5760
US

V. Phone/Fax

Practice location:
  • Phone: 401-861-7711
  • Fax: 401-421-5710
Mailing address:
  • Phone: 401-861-7711
  • Fax: 401-421-5710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberNPP29225
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberNPP29225
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: