Individual
SHARA A KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
295 VARNUM AVE, LOWELL, MA 01854-2134
(978) 258-4734
Mailing address
112 FARWELL RD, TYNGSBORO, MA 01879-1010
(978) 856-5651
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2295434
MA
Other
Enumeration date
11/12/2019
Last updated
09/30/2020
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