Provider Demographics
NPI:1639409485
Name:CARY, SHARON LYNN
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:LYNN
Last Name:CARY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3658 CALUMET ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19129-1750
Mailing Address - Country:US
Mailing Address - Phone:267-886-0798
Mailing Address - Fax:
Practice Address - Street 1:3658 CALUMET ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19129-1750
Practice Address - Country:US
Practice Address - Phone:267-886-0798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-29
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA374J00000X
374K00000X, 172V00000X, 174H00000X, 171W00000X, 175M00000X, 101YP1600X, 104100000X, 174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner
No172V00000XOther Service ProvidersCommunity Health Worker
No174H00000XOther Service ProvidersHealth Educator
No171W00000XOther Service ProvidersContractor
No175M00000XOther Service ProvidersMidwife, Lay
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No174N00000XOther Service ProvidersLactation Consultant, Non-RN