Provider Demographics
NPI:1518927235
Name:WASHINGTON, SHARON DENISE (CPNP)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:DENISE
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 DAVIDSON AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10468-6308
Mailing Address - Country:US
Mailing Address - Phone:718-933-4034
Mailing Address - Fax:718-933-0440
Practice Address - Street 1:2400 DAVIDSON AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10468-6308
Practice Address - Country:US
Practice Address - Phone:718-933-4034
Practice Address - Fax:718-933-0440
Is Sole Proprietor?:No
Enumeration Date:2006-03-25
Last Update Date:2009-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF381360-1363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics