Provider Demographics
NPI:1265576094
Name:HOBSON, SHARON K (CPNP)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:K
Last Name:HOBSON
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 GUILFORD AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-3621
Mailing Address - Country:US
Mailing Address - Phone:410-396-3185
Mailing Address - Fax:410-545-6636
Practice Address - Street 1:210 GUILFORD AVE FL 2
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-3621
Practice Address - Country:US
Practice Address - Phone:410-396-3185
Practice Address - Fax:410-545-6636
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR070337363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics