Provider Demographics
NPI:1841851862
Name:SHARBONO, KATHRYN RENEE (FNP-C)
Entity type:Individual
Prefix:MISS
First Name:KATHRYN
Middle Name:RENEE
Last Name:SHARBONO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MRS
Other - First Name:KATHRYN
Other - Middle Name:SHARBONO
Other - Last Name:STANSBURY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5959 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6038
Mailing Address - Country:US
Mailing Address - Phone:318-966-6800
Mailing Address - Fax:225-765-9196
Practice Address - Street 1:312 GRAMMONT ST STE 404
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-7403
Practice Address - Country:US
Practice Address - Phone:318-966-6800
Practice Address - Fax:318-966-6801
Is Sole Proprietor?:No
Enumeration Date:2019-06-21
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA206507363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily