Provider Demographics
NPI:1942623335
Name:STEIN, SHARON M (NP)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:M
Last Name:STEIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:279 LINCOLN ST
Mailing Address - Street 2:HAHNEMANN FAMILY HEALTH CENTER, PSYCHIATRY
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-2120
Mailing Address - Country:US
Mailing Address - Phone:508-334-2537
Mailing Address - Fax:508-334-3000
Practice Address - Street 1:279 LINCOLN ST
Practice Address - Street 2:279 LINCOLN ST.
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-2120
Practice Address - Country:US
Practice Address - Phone:508-334-2537
Practice Address - Fax:508-334-3000
Is Sole Proprietor?:No
Enumeration Date:2014-01-21
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MARN2277611363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health