Provider Demographics
NPI:1356532378
Name:LENNON, SHARON A (ANP, RN)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:A
Last Name:LENNON
Suffix:
Gender:F
Credentials:ANP, RN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4770 WHITE PLAINS RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10470-1104
Mailing Address - Country:US
Mailing Address - Phone:718-931-9700
Mailing Address - Fax:347-505-7076
Practice Address - Street 1:100 WOODS RD
Practice Address - Street 2:TAYLOR CARE CENTER, UNIT D1
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1530
Practice Address - Country:US
Practice Address - Phone:914-493-7247
Practice Address - Fax:914-493-5004
Is Sole Proprietor?:No
Enumeration Date:2007-08-06
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY301423363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care