Provider Demographics
NPI:1710914858
Name:LAURIN, SHARON JUNE (NP)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:JUNE
Last Name:LAURIN
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:299 CAREW ST
Mailing Address - Street 2:SUITE 430
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01104-2361
Mailing Address - Country:US
Mailing Address - Phone:413-734-6461
Mailing Address - Fax:413-734-4540
Practice Address - Street 1:299 CAREW ST
Practice Address - Street 2:SUITE 430
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-2301
Practice Address - Country:US
Practice Address - Phone:413-734-6461
Practice Address - Fax:413-734-4540
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA187422363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0798835Medicaid
MA0798835Medicaid