Doctor Name: | MRS. SHARON S VENTURA |
NPI Number: | 1417392127 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN-C |
License Number: | F306308 |
Business Practice Address: | 24 Elm St Harrington Park, NJ - 076401902 |
Business Phone Number: | 2017840123 |
Business Fax Number: | 2017840065 |
Mailing Address: | 2 Eckel Rd, LITTLE FERRY |
State: | NJ |
Postal Code: | 076432037 |
Phone Number: | 2014401275 |
Fax Number: | |
NPI Enumeration Date: | 05/08/2013 |
NPI Last Update Date: | 05/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | F306308 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |