Provider Demographics
NPI:1851999668
Name:MCLAURIN, SHARON ANNETTE (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:ANNETTE
Last Name:MCLAURIN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23320 ROGERDALE PL
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20166-2143
Mailing Address - Country:US
Mailing Address - Phone:336-407-1172
Mailing Address - Fax:
Practice Address - Street 1:23320 ROGERDALE PL
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166-2143
Practice Address - Country:US
Practice Address - Phone:336-407-1172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAAG07200091363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health