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Organization

SHARON R HASTING APN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHARON R HASTING APRN-FPA (OWNER)
(815) 990-3276
Entity
Organization

Contact information

Practice address
1639 N ALPINE RD STE 403, ROCKFORD, IL 61107-1440
(815) 965-8505
(815) 965-8440
Mailing address
13216 E KRISE RD, STOCKTON, IL 61085-9403
(815) 990-3276

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
251J00000X
Nursing Care Agency
Primary
363LF0000X
Family Nurse Practitioner
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist

Other

Enumeration date
05/10/2021
Last updated
05/12/2022
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