Provider Demographics
NPI:1366447211
Name:DIHIGO, SHAROLYN K (DNP, RN, CPNP, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:SHAROLYN
Middle Name:K
Last Name:DIHIGO
Suffix:
Gender:F
Credentials:DNP, RN, CPNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:916 DARBYTOWN RD
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-1664
Mailing Address - Country:US
Mailing Address - Phone:214-478-8123
Mailing Address - Fax:
Practice Address - Street 1:705 MAIN ST
Practice Address - Street 2:
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-4742
Practice Address - Country:US
Practice Address - Phone:972-304-6400
Practice Address - Fax:972-304-6455
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX558787363LF0000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX041434403OtherEPSDT
TX041434402OtherTPI