Healthcare Provider Details

I. General information

NPI: 1619315637
Provider Name (Legal Business Name): SHARON ANNE MCLIMANS RN, MSN, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2013
Last Update Date: 06/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 RIVER ST
WAKEFIELD RI
02879-3214
US

IV. Provider business mailing address

1 RIVER ST
WAKEFIELD RI
02879-3214
US

V. Phone/Fax

Practice location:
  • Phone: 401-783-0523
  • Fax: 401-782-0858
Mailing address:
  • Phone: 401-783-0523
  • Fax: 401-782-0858

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberNPP37698
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNPP37698
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: