Provider Demographics
NPI:1942551130
Name:BROWN-SHARP, WILHELMINA
Entity Type:Individual
Prefix:
First Name:WILHELMINA
Middle Name:
Last Name:BROWN-SHARP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3505 21ST ST
Mailing Address - Street 2:APT 1H
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11106-4770
Mailing Address - Country:US
Mailing Address - Phone:347-870-2942
Mailing Address - Fax:
Practice Address - Street 1:3505 21ST ST
Practice Address - Street 2:APT 1H
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11106-4770
Practice Address - Country:US
Practice Address - Phone:347-870-2942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-27
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY310726164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse