Provider Demographics
NPI:1912595174
Name:ZABRISKIE, SHARON LUCILLE (APRN)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:LUCILLE
Last Name:ZABRISKIE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:LUCILLE
Other - Last Name:PEDRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:80 FERN DR
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-3807
Mailing Address - Country:US
Mailing Address - Phone:860-294-7300
Mailing Address - Fax:860-482-6693
Practice Address - Street 1:93 TAYLOR RD
Practice Address - Street 2:
Practice Address - City:WINSTED
Practice Address - State:CT
Practice Address - Zip Code:06063-3434
Practice Address - Country:US
Practice Address - Phone:860-670-9899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-04
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT9372363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily