Provider Demographics
NPI:1205211794
Name:FRANCIS, SHARON MARIA (RN)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:MARIA
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 SHERIDAN AVE
Mailing Address - Street 2:APT 1RR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11208-3034
Mailing Address - Country:US
Mailing Address - Phone:718-708-0520
Mailing Address - Fax:
Practice Address - Street 1:137 SHERIDAN AVE
Practice Address - Street 2:APT 1RR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11208-3034
Practice Address - Country:US
Practice Address - Phone:718-708-0520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-24
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY703445163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY703445OtherREGISTERED PROFESSIONAL NURSE
448540676OtherNEW YORK STATE DRIVER LICENSE
499132375OtherUNITED STATES PASSPORT