Basic Information
| Provider Information | |||||||||
| NPI: | 1598072621 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PHILBIN | ||||||||
| FirstName: | SHARON | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | APRN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 25 CHAINEY ST | ||||||||
| Address2: | |||||||||
| City: | SEEKONK | ||||||||
| State: | MA | ||||||||
| PostalCode: | 027714204 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5086399131 | ||||||||
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| Practice Location | |||||||||
| Address1: | 100 LAFAYETTE ST # 302 | ||||||||
| Address2: | |||||||||
| City: | PAWTUCKET | ||||||||
| State: | RI | ||||||||
| PostalCode: | 028606008 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4014440580 | ||||||||
| FaxNumber: | 4014440428 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/10/2010 | ||||||||
| LastUpdateDate: | 07/20/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/20/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | RN176327 | MA | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 363LF0000X | APRN00980 | RI | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.