Provider Demographics
NPI:1770927501
Name:XIQUES, SHARON CHRISTINE (PA-C)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:CHRISTINE
Last Name:XIQUES
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:145 W 23RD ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16502-2858
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3100 E FLETCHER AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-4613
Practice Address - Country:US
Practice Address - Phone:407-303-7283
Practice Address - Fax:407-303-0473
Is Sole Proprietor?:No
Enumeration Date:2013-04-23
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0110008028363A00000X
PAMA056085363A00000X
WI7235363A00000X
GA9523363A00000X
FLPA9113833363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant