Provider Demographics
NPI:1134382484
Name:MCEVOY, SHARON SMITH (RN, MA, NP-C,)
Entity type:Individual
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First Name:SHARON
Middle Name:SMITH
Last Name:MCEVOY
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Gender:F
Credentials:RN, MA, NP-C,
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Mailing Address - Street 1:847 N BROADWAY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-2373
Mailing Address - Country:US
Mailing Address - Phone:516-798-0441
Mailing Address - Fax:516-798-0445
Practice Address - Street 1:847 N BROADWAY
Practice Address - Street 2:SUITE 103
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-2373
Practice Address - Country:US
Practice Address - Phone:516-798-0441
Practice Address - Fax:516-798-0445
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-08
Last Update Date:2021-04-02
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Provider Licenses
StateLicense IDTaxonomies
NY304915363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health