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Individual

SHAREN YAWORSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1575 WASHINGTON ST, WATERTOWN, NY 13601-9371
(315) 786-7300
(315) 786-7310
Mailing address
1575 WASHINGTON ST, WATERTOWN, NY 13601-9371
(315) 786-7300
(315) 786-7310

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F302428
NY
363LP0200X
Pediatric Nurse Practitioner
F381457
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00354316
NY
Enumeration date
05/17/2006
Last updated
05/02/2011
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