Organization
SHARON WINGATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON LEE WINGATE (LPN)
(267) 261-5388
Entity
Organization
Contact information
Practice address
642 BUTTONWOOD ST, PERKASIE, PA 18944
(267) 261-5388
Mailing address
642 BUTTONWOOD ST, PERKASIE, PA 18944
(267) 261-5388
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN09485L
PA
315P00000X
Intellectual Disabilities Intermediate Care Facility
PN094857L
PA
Other
Enumeration date
11/27/2012
Last updated
02/12/2013
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