Provider Demographics
NPI:1497453492
Name:PARRY, SHARON DENISE (RN)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:DENISE
Last Name:PARRY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1377 NW 40TH AVE # 1026
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33313-5803
Mailing Address - Country:US
Mailing Address - Phone:786-509-8280
Mailing Address - Fax:
Practice Address - Street 1:621 NW 34TH TER
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33311-7505
Practice Address - Country:US
Practice Address - Phone:786-805-2674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9258214163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse