Provider Demographics
NPI:1316967227
Name:BESSO, SHARON REGULA (ARNP)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:REGULA
Last Name:BESSO
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 DORCHESTER RD
Mailing Address - Street 2:PO BOX 145
Mailing Address - City:LYME
Mailing Address - State:NH
Mailing Address - Zip Code:03768
Mailing Address - Country:US
Mailing Address - Phone:603-795-3122
Mailing Address - Fax:
Practice Address - Street 1:215 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WHITE RIVER JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05009-0001
Practice Address - Country:US
Practice Address - Phone:802-295-9363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH025185-23-03363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily