Provider Demographics
NPI:1659049112
Name:ROSEMOND, SHARON A (NP)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:A
Last Name:ROSEMOND
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1202 EVANS RD APT 2222
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-6978
Mailing Address - Country:US
Mailing Address - Phone:301-351-8727
Mailing Address - Fax:
Practice Address - Street 1:3311 TOLEDO TER STE B102
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782-8146
Practice Address - Country:US
Practice Address - Phone:301-559-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-31
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNP0961076363LF0000X
DCRN961076163W00000X
MDR147815163W00000X, 363LF0000X
FL11025839363LF0000X
VANP0961076363LF0000X
TX1112441363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse