Provider Demographics
NPI:1053839878
Name:STARR, SHARON MAUREEN (APRN)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:MAUREEN
Last Name:STARR
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:22 TRACEY LN
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067-3132
Mailing Address - Country:US
Mailing Address - Phone:781-793-8929
Mailing Address - Fax:781-793-7975
Practice Address - Street 1:22 TRACEY LN
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:MA
Practice Address - Zip Code:02067-3132
Practice Address - Country:US
Practice Address - Phone:781-793-8929
Practice Address - Fax:781-793-7975
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAPRN01649207Q00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIAPRN01649OtherDON'T HAVE ANY NUMBERS AS YET