Provider Demographics
NPI:1982131884
Name:PERRON LAURENT, SHARRO (RN)
Entity Type:Individual
Prefix:
First Name:SHARRO
Middle Name:
Last Name:PERRON LAURENT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 CAROLINA BACK RD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02813-3810
Mailing Address - Country:US
Mailing Address - Phone:401-364-0444
Mailing Address - Fax:
Practice Address - Street 1:360 DUNCAN DR
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-7003
Practice Address - Country:US
Practice Address - Phone:401-383-5150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-23
Last Update Date:2017-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRN53273163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse