Provider Demographics
NPI:1508818964
Name:STAGER, SHARON LOUISE (RN MS CS FNP)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:LOUISE
Last Name:STAGER
Suffix:
Gender:F
Credentials:RN MS CS FNP
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Mailing Address - Street 1:1524 ATWOOD AVE
Mailing Address - Street 2:SUITE 434
Mailing Address - City:JOHNSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02919
Mailing Address - Country:US
Mailing Address - Phone:401-272-8773
Mailing Address - Fax:401-272-8770
Practice Address - Street 1:1524 ATWOOD AVE
Practice Address - Street 2:SUITE 434
Practice Address - City:JOHNSTON
Practice Address - State:RI
Practice Address - Zip Code:02919
Practice Address - Country:US
Practice Address - Phone:401-272-8773
Practice Address - Fax:401-272-8770
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2010-10-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
RICNP36200363LF0000X, 363L00000X
MARN226334363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI509026514Medicaid
RIP66353Medicare UPIN
007058552Medicare PIN