Provider Demographics
NPI:1679255244
Name:SANKEY, SHARON BETH (LPN)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:BETH
Last Name:SANKEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8455 STATE ROUTE 13
Mailing Address - Street 2:
Mailing Address - City:BLOSSVALE
Mailing Address - State:NY
Mailing Address - Zip Code:13308-3331
Mailing Address - Country:US
Mailing Address - Phone:606-386-1441
Mailing Address - Fax:
Practice Address - Street 1:8455 STATE ROUTE 13
Practice Address - Street 2:
Practice Address - City:BLOSSVALE
Practice Address - State:NY
Practice Address - Zip Code:13308-3331
Practice Address - Country:US
Practice Address - Phone:606-386-1441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY248181164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse