Provider Demographics
NPI:1992789937
Name:WHITNEY, SHARON CURLEY (PA)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:CURLEY
Last Name:WHITNEY
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:
Other - Last Name:CURLEY WHITNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 86
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-0086
Mailing Address - Country:US
Mailing Address - Phone:781-749-9071
Mailing Address - Fax:781-749-2133
Practice Address - Street 1:125 PARKER HILL AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02120
Practice Address - Country:US
Practice Address - Phone:617-754-6576
Practice Address - Fax:617-754-6420
Is Sole Proprietor?:No
Enumeration Date:2005-12-02
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA610363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAQ45480Medicare UPIN
MAAP2422Medicare ID - Type Unspecified