Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | 320085 | NY |
NPI | 1558736355 |
---|---|
Provider Name | Ms. Sharon Lynn Pearce |
First Address | Little Falls, NY 13365-1725 |
Second Address | Dolgeville, NY 13329-1203 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2015 |
Last Update Date | 04/12/2015 |