Provider Demographics
NPI:1073507240
Name:MCGUIRE, SHARDA (FNP)
Entity Type:Individual
Prefix:
First Name:SHARDA
Middle Name:
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:252 W 21ST ST
Mailing Address - Street 2:BF
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-3426
Mailing Address - Country:US
Mailing Address - Phone:212-255-1351
Mailing Address - Fax:
Practice Address - Street 1:560 1ST AVE
Practice Address - Street 2:HCC 11
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:347-213-9076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-02
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF332509-1363LA2100X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care