Provider Demographics
NPI:1144505678
Name:FARAH, SHARON BETH (FNP)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:BETH
Last Name:FARAH
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:BETH
Other - Last Name:ZUBEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:15 PARTRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:CT
Mailing Address - Zip Code:06883-2439
Mailing Address - Country:US
Mailing Address - Phone:860-912-7971
Mailing Address - Fax:860-253-2762
Practice Address - Street 1:1 POMPERAUG OFFICE PARK STE 103
Practice Address - Street 2:
Practice Address - City:SOUTHBURY
Practice Address - State:CT
Practice Address - Zip Code:06488-2295
Practice Address - Country:US
Practice Address - Phone:035-581-1432
Practice Address - Fax:860-253-2762
Is Sole Proprietor?:No
Enumeration Date:2011-10-16
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT5203363LP0808X
CT005203363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health