Provider Demographics
NPI:1902947476
Name:BARKER, SHARON (ARNP)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:BARKER
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 1:20 NOYES RD
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-2418
Mailing Address - Country:US
Mailing Address - Phone:603-432-5005
Mailing Address - Fax:
Practice Address - Street 1:1 COMMONS DR
Practice Address - Street 2:STE 24
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3467
Practice Address - Country:US
Practice Address - Phone:603-425-6494
Practice Address - Fax:603-425-2048
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH025546-23-03363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30343791Medicaid
NHS93961OtherHARVARD PILGRIM
NH30343791Medicaid
NHS93961Medicare UPIN