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NPI Code Detail

MEDICARE: SHARON B MAGUIRE

MEDICARE: SHARON B MAGUIRE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse Practitioner1616-033WI

General Provider Information

NPI Number : 1174777031
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON B MAGUIRE
Provider Business Mailing Address
First Line : 3220 W VLIET ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53208-2453
Country : US
Telephone Number : 414-231-4000
Fax Number :
Provider Business Practice Location Address
First Line : 3220 W VLIET ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53208-2453
Country : US
Telephone Number : 414-231-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2008
Last Update Date : 11/05/2008

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Directions to “ SHARON B MAGUIRE ” Practice Location

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