Provider Demographics
NPI:1508003328
Name:ALLEN, SHARON W (RN)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:W
Last Name:ALLEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11882 ALLEN RD
Mailing Address - Street 2:
Mailing Address - City:SWAIN
Mailing Address - State:NY
Mailing Address - Zip Code:14884-9756
Mailing Address - Country:US
Mailing Address - Phone:585-476-2313
Mailing Address - Fax:
Practice Address - Street 1:LIVINGSTON COUNTY CAMPUS, BLDG 2
Practice Address - Street 2:LIVINGSTON COUNTY HEALTH DEPT
Practice Address - City:MT. MORRIS
Practice Address - State:NY
Practice Address - Zip Code:14510
Practice Address - Country:US
Practice Address - Phone:585-243-7290
Practice Address - Fax:585-243-7287
Is Sole Proprietor?:No
Enumeration Date:2009-01-15
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY543860-1163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH1000XNursing Service ProvidersRegistered NurseHospice