Waite, Shari A
Waite, Shari A is an individual health care provider with primary practice located at 50 Memorial Dr Ste 110, Leominster MA 01453-2238. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Waite, Shari A can be contacted via phone (978) 840-1388.Contact Information
Primary practice address
50 Memorial Dr Ste 110
Leominster MA 01453-2238
Phone: (978) 840-1388
Fax: (978) 534-4925
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 211741 | Massachusetts |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 211741 | Massachusetts |
Profile Details
NPI number | 1972509545 |
---|---|
LBN Legal business name | Waite, Shari A |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 28th, 2005 |
Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1972509545 | NPPES |
Massachusetts | MEDICAID | 9707361 | |
Massachusetts | Other | 0379450 |
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