Provider Demographics
NPI:1558509604
Name:HEININGER, SHARON ALICE (RN)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:ALICE
Last Name:HEININGER
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:PO BOX 16254
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14616-0254
Mailing Address - Country:US
Mailing Address - Phone:585-227-0486
Mailing Address - Fax:585-227-0486
Practice Address - Street 1:126 ROCKWAY DRIVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14612-1637
Practice Address - Country:US
Practice Address - Phone:585-227-0486
Practice Address - Fax:585-227-0486
Is Sole Proprietor?:No
Enumeration Date:2009-01-28
Last Update Date:2009-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY4858381163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02681767Medicaid