Provider Demographics
NPI:1518746817
Name:SHARROCKS, DAWN D (LAC)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:D
Last Name:SHARROCKS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 BROMLEY LN
Mailing Address - Street 2:
Mailing Address - City:SPOTSYLVANIA
Mailing Address - State:VA
Mailing Address - Zip Code:22551-2492
Mailing Address - Country:US
Mailing Address - Phone:917-443-0253
Mailing Address - Fax:
Practice Address - Street 1:904 PRINCESS ANNE ST STE 301
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-5800
Practice Address - Country:US
Practice Address - Phone:540-444-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-26
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0121-000996171100000X
VA0001262420163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No163W00000XNursing Service ProvidersRegistered Nurse