Provider Demographics
NPI:1598056020
Name:OWCZARCZYK, SHARON MARIE (RN)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:MARIE
Last Name:OWCZARCZYK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:SHARON
Other - Middle Name:MARIE
Other - Last Name:OWCZARCZYK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4994 NEWTON RD
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-5433
Mailing Address - Country:US
Mailing Address - Phone:716-649-0797
Mailing Address - Fax:
Practice Address - Street 1:4994 NEWTON RD
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-5433
Practice Address - Country:US
Practice Address - Phone:716-649-0797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-02
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4972161163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health