Healthcare Provider Details

I. General information

NPI: 1700849775
Provider Name (Legal Business Name): SHARON STERLING OTR L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2821 9TH ST S #112C
ARLINGTON VA
22204-2340
US

IV. Provider business mailing address

2821 9TH ST S #112C
ARLINGTON VA
22204-2340
US

V. Phone/Fax

Practice location:
  • Phone: 703-228-8000
  • Fax:
Mailing address:
  • Phone: 703-228-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number0119001893
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: