MEDICARE: MRS. SHARON FALKOWSKI BUCK RN, APN

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	363LF0000X	Family Nurse Practitioner	LG-0000421	DE

General Provider Information

NPI Number	:	1790930261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHARON FALKOWSKI BUCK RN, APN

Provider Business Mailing Address
First Line	:	4735 OGLETOWN STANTON RD STE 1109
Second Line	:
City	:	NEWARK
State	:	DE
Zip	:	19713-2089
Country	:	US
Telephone Number	:	302-454-9800
Fax Number	:	302-454-6446

Provider Business Practice Location Address
First Line	:	4735 OGLETOWN STANTON RD STE 1109
Second Line	:
City	:	NEWARK
State	:	DE
Zip	:	19713-2089
Country	:	US
Telephone Number	:	302-454-9800
Fax Number	:	302-454-6446

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

Provider Enumeration Date	:	11/24/2008
Last Update Date	:	11/24/2008

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