Provider Demographics
NPI:1730244062
Name:EDELSTEIN, SHARON BECKMAN (RN,CPNP)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:BECKMAN
Last Name:EDELSTEIN
Suffix:
Gender:F
Credentials:RN,CPNP
Other - Prefix:MISS
Other - First Name:SHARON
Other - Middle Name:LYNN
Other - Last Name:BECKMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2101 EAST JEFFERSON STREET
Mailing Address - Street 2:PPQA MEDICARE COMPLIANCE UNIT 6 WEST ATTN THERESA BROOK
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4908
Mailing Address - Country:US
Mailing Address - Phone:301-816-2424
Mailing Address - Fax:301-816-6308
Practice Address - Street 1:1901 MISSISSIPPI AVE SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-6117
Practice Address - Country:US
Practice Address - Phone:202-436-3060
Practice Address - Fax:202-436-3090
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1024100363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
P64374Medicare UPIN
002996K32Medicare ID - Type Unspecified