Provider Demographics
NPI:1134263411
Name:BARRETT, SHARON CECELIA (APRN)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:CECELIA
Last Name:BARRETT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1637 W PHILADELPHIA AVE
Mailing Address - Street 2:
Mailing Address - City:BOYERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19512-7705
Mailing Address - Country:US
Mailing Address - Phone:973-600-9959
Mailing Address - Fax:201-488-0925
Practice Address - Street 1:81 E 39TH ST
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07514-1105
Practice Address - Country:US
Practice Address - Phone:973-600-9959
Practice Address - Fax:201-488-0925
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NC099936000163WP0809X
PARN577275163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult