Basic Information
Provider Information
NPI: 1093725228
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LENTON
FirstName: SHARON
MiddleName: JAYNE
NamePrefix:  
NameSuffix:  
Credential: CNM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1150 VARNUM ST NE
Address2:  
City: WASHINGTON
State: DC
PostalCode: 20017
CountryCode: US
TelephoneNumber: 2022697000
FaxNumber:  
Practice Location
Address1: 1150 VARNUM ST NE
Address2:  
City: WASHINGTON
State: DC
PostalCode: 20017
CountryCode: US
TelephoneNumber: 2022697000
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/09/2006
LastUpdateDate: 07/11/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
176B00000XRN1006265DCN Other Service ProvidersMidwife 
363L00000XRN1006265DCY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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