Provider Demographics
NPI:1144005687
Name:SHARON FAITH DIVITTO
Entity type:Organization
Organization Name:SHARON FAITH DIVITTO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC CLINICAL NURSE SPECIALI
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:FAITH
Authorized Official - Last Name:DIVITTO
Authorized Official - Suffix:
Authorized Official - Credentials:RN PMH CNS BC
Authorized Official - Phone:508-243-9735
Mailing Address - Street 1:128 HEIGHTS OF HILL ST
Mailing Address - Street 2:
Mailing Address - City:WHITINSVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:01588-1050
Mailing Address - Country:US
Mailing Address - Phone:508-243-9735
Mailing Address - Fax:
Practice Address - Street 1:128 HEIGHTS OF HILL ST
Practice Address - Street 2:
Practice Address - City:WHITINSVILLE
Practice Address - State:MA
Practice Address - Zip Code:01588-1050
Practice Address - Country:US
Practice Address - Phone:508-243-9735
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-31
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, AdultGroup - Single Specialty