Provider Demographics
NPI:1215214556
Name:HARRIS, SHARON C (PNP)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:C
Last Name:HARRIS
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3288 E HENRIETTA RD
Mailing Address - Street 2:
Mailing Address - City:HENRIETTA
Mailing Address - State:NY
Mailing Address - Zip Code:14467-9701
Mailing Address - Country:US
Mailing Address - Phone:585-359-5028
Mailing Address - Fax:585-350-5526
Practice Address - Street 1:3288 E HENRIETTA RD
Practice Address - Street 2:
Practice Address - City:HENRIETTA
Practice Address - State:NY
Practice Address - Zip Code:14467-9701
Practice Address - Country:US
Practice Address - Phone:585-359-5028
Practice Address - Fax:585-359-5526
Is Sole Proprietor?:No
Enumeration Date:2011-11-15
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF-382210363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics