Provider Demographics
NPI:1831852151
Name:CARRIGAN, SHARON (APRN)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:CARRIGAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4525 SE 11TH PL
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-3234
Mailing Address - Country:US
Mailing Address - Phone:352-817-9369
Mailing Address - Fax:
Practice Address - Street 1:1501 N US HIGHWAY 441 STE 1202
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32159-6817
Practice Address - Country:US
Practice Address - Phone:352-751-0448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-14
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11015605363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily