MEDICARE: SHARON NDI

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
1	374U00000X	Home Health Aide
2	163W00000X	Registered Nurse	RN1049562	DC

General Provider Information

NPI Number	:	1366705469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON NDI

Provider Business Mailing Address
First Line	:	732 WHITTIER ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20012-2659
Country	:	US
Telephone Number	:	202-545-0935
Fax Number	:

Provider Business Practice Location Address
First Line	:	3512 CHERRYVALE DR
Second Line	:
City	:	BELTSVILLE
State	:	MD
Zip	:	20705-3837
Country	:	US
Telephone Number	:	202-705-9391
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2012
Last Update Date	:	01/09/2025

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Directions to “ SHARON NDI ” Practice Location

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