Provider Demographics
NPI:1821654757
Name:STEPHENS, SHARI
Entity Type:Individual
Prefix:
First Name:SHARI
Middle Name:
Last Name:STEPHENS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHARI
Other - Middle Name:
Other - Last Name:LAPLANTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARMER, LAPLANTE
Mailing Address - Street 1:11 LAKESIDE AVE
Mailing Address - Street 2:
Mailing Address - City:MECHANICVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12118-3063
Mailing Address - Country:US
Mailing Address - Phone:518-400-1185
Mailing Address - Fax:
Practice Address - Street 1:11 LAKESIDE AVE
Practice Address - Street 2:
Practice Address - City:MECHANICVILLE
Practice Address - State:NY
Practice Address - Zip Code:12118-3063
Practice Address - Country:US
Practice Address - Phone:518-400-1185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-16
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty