Provider Demographics
NPI:1922131028
Name:DENNIS, SHARON ANNETTE (RN)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:ANNETTE
Last Name:DENNIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:SHARON
Other - Middle Name:ANNETTE
Other - Last Name:DENNIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3717 HILLSDALE RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21207-7640
Mailing Address - Country:US
Mailing Address - Phone:410-371-2559
Mailing Address - Fax:
Practice Address - Street 1:10 N GREENE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1524
Practice Address - Country:US
Practice Address - Phone:410-605-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR070625163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse