Provider Demographics
NPI:1760655302
Name:HOLDER, SHARON OLIVIA (PA-C)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:OLIVIA
Last Name:HOLDER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MRS
Other - First Name:SHARON
Other - Middle Name:OLIVIA
Other - Last Name:SAVOURY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:525 NEW BOSTON RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-4108
Mailing Address - Country:US
Mailing Address - Phone:781-454-9462
Mailing Address - Fax:
Practice Address - Street 1:525 NEW BOSTON RD
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-4108
Practice Address - Country:US
Practice Address - Phone:781-454-9462
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-03
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2482363AM0700X
NH0863363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical