Provider Demographics
NPI:1316328313
Name:LABROCCA, SHARON MAE (APRN)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:MAE
Last Name:LABROCCA
Suffix:
Gender:F
Credentials:APRN
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Mailing Address - Street 1:3012S DURANGO DR 2
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-9186
Mailing Address - Country:US
Mailing Address - Phone:702-483-2408
Mailing Address - Fax:702-942-4388
Practice Address - Street 1:5380 S RAINBOW BLVD
Practice Address - Street 2:STE. 120
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-1877
Practice Address - Country:US
Practice Address - Phone:702-233-3444
Practice Address - Fax:702-233-6998
Is Sole Proprietor?:No
Enumeration Date:2015-06-15
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NVAPRN001761363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVAPRN001761OtherLICENSE