Provider Demographics
NPI:1225321896
Name:THOMAS, SHARON A (RN, MSN, FNP)
Entity Type:Individual
Prefix:MISS
First Name:SHARON
Middle Name:A
Last Name:THOMAS
Suffix:
Gender:F
Credentials:RN, MSN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 E 43RD ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-3049
Mailing Address - Country:US
Mailing Address - Phone:718-940-6199
Mailing Address - Fax:718-940-4964
Practice Address - Street 1:124 E 43RD ST
Practice Address - Street 2:SUITE 1
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-3049
Practice Address - Country:US
Practice Address - Phone:718-940-6199
Practice Address - Fax:718-940-4964
Is Sole Proprietor?:No
Enumeration Date:2011-05-16
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF336132-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily