Provider Demographics
NPI:1366514762
Name:MCLAUGHLIN, SHARON M (NP)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:M
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:NP
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Other - Credentials:
Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASS GENERAL PHYSICIANS ORGANIZATIONS INC
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-724-0287
Mailing Address - Fax:617-724-2894
Practice Address - Street 1:73 HIGH ST
Practice Address - Street 2:MASS GENERAL HOSPITAL CHARLESTOWN HEALTHCARE CENTER
Practice Address - City:CHARLESTOWN
Practice Address - State:MA
Practice Address - Zip Code:02129
Practice Address - Country:US
Practice Address - Phone:617-724-8311
Practice Address - Fax:617-724-8010
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2015-06-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA96288363L00000X
MECNP81775363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME000962901Medicare PIN
MANP2951Medicare ID - Type Unspecified