Individual
SHARITA OUTLAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11606 MYRTLE AVE, RICHMOND HILL, NY 11418-1748
(631) 552-4240
Mailing address
7021 RAVENSCRAIG CRES, HENRICO, VA 23231-7286
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
956086
NY
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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