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Individual

MRS. SHARON LOUISE STAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN MS CS FNP

Contact information

Practice address
1524 ATWOOD AVE, SUITE 434, JOHNSTON, RI 02919
(401) 272-8773
(401) 272-8770
Mailing address
1524 ATWOOD AVE, SUITE 434, JOHNSTON, RI 02919
(401) 272-8773
(401) 272-8770

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CNP36200
RI
363LF0000X
Family Nurse Practitioner
CNP36200
RI
363LF0000X
Family Nurse Practitioner
Primary
RN226334
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
509026514
RI
Enumeration date
05/16/2006
Last updated
10/07/2010
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