Provider Demographics
NPI:1194490367
Name:BROWNLAWRENCE, SHARON LEE (AGNP)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:LEE
Last Name:BROWNLAWRENCE
Suffix:
Gender:F
Credentials:AGNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:877 CENTENNIAL AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-1914
Mailing Address - Country:US
Mailing Address - Phone:516-633-7052
Mailing Address - Fax:
Practice Address - Street 1:877 CENTENNIAL AVE
Practice Address - Street 2:
Practice Address - City:NORTH BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510-1914
Practice Address - Country:US
Practice Address - Phone:516-633-7052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-10
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYAG07210150363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health