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NPI Code Detail

MEDICARE: DR. SHAROLYN K. DIHIGO DNP, RN, CPNP, FNP-C

MEDICARE: DR. SHAROLYN K. DIHIGO DNP, RN, CPNP, FNP-C
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
1363LF0000XFamily Nurse Practitioner558787TX
2363LP0200XPediatric Nurse Practitioner558787TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1041434403OTHERTXEPSDT
2041434402OTHERTXTPI

General Provider Information

NPI Number : 1366447211
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAROLYN K. DIHIGO DNP, RN, CPNP, FNP-C
Provider Business Mailing Address
First Line : 916 DARBYTOWN RD
Second Line :
City : GRAND PRAIRIE
State : TX
Zip : 75052-1664
Country : US
Telephone Number : 214-478-8123
Fax Number :
Provider Business Practice Location Address
First Line : 705 MAIN ST
Second Line :
City : COPPELL
State : TX
Zip : 75019-4742
Country : US
Telephone Number : 972-304-6400
Fax Number : 972-304-6455
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 04/19/2018

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