Provider Demographics
NPI:1881102705
Name:OCTIGAN, SHARON J (HEALTH EDUCATOR)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:J
Last Name:OCTIGAN
Suffix:
Gender:F
Credentials:HEALTH EDUCATOR
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:J
Other - Last Name:OCTIGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HEALTH EDUCATOR
Mailing Address - Street 1:1436 HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27889-3222
Mailing Address - Country:US
Mailing Address - Phone:252-946-1902
Mailing Address - Fax:252-946-8430
Practice Address - Street 1:1436 HIGHLAND DR
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NC
Practice Address - Zip Code:27889-3222
Practice Address - Country:US
Practice Address - Phone:252-946-1902
Practice Address - Fax:252-946-8430
Is Sole Proprietor?:No
Enumeration Date:2018-01-12
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator