Provider Demographics
NPI:1457997793
Name:DEL ROSARIO-AQUINO, SHARON (PA-C)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:
Last Name:DEL ROSARIO-AQUINO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5375 S FORT APACHE RD STE 102&103
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-7623
Mailing Address - Country:US
Mailing Address - Phone:702-463-9159
Mailing Address - Fax:702-463-6611
Practice Address - Street 1:5375 S FORT APACHE RD STE 102&103
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-7623
Practice Address - Country:US
Practice Address - Phone:702-463-9159
Practice Address - Fax:702-463-6611
Is Sole Proprietor?:No
Enumeration Date:2019-11-21
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPA2252363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant