| Sharon R Hasting Apn | |
|
1639 N Alpine Rd Ste 403 Rockford IL 61107-1440 | |
| (815) 965-8505 | |
| (815) 965-8440 |
| Full Name | Sharon R Hasting Apn |
|---|---|
| Speciality | Nursing Care |
| Location | 1639 N Alpine Rd Ste 403, Rockford, Illinois |
| Authorized Official Name and Position | Sharon R Hasting (OWNER) |
| Authorized Official Contact | 8159903276 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sharon R Hasting Apn 13216 E Krise Rd Stockton IL 61085-9403 Ph: (815) 990-3276 | Sharon R Hasting Apn 1639 N Alpine Rd Ste 403 Rockford IL 61107-1440 Ph: (815) 965-8505 |
| NPI Number | 1265016992 |
|---|---|
| Provider Enumeration Date | 05/10/2021 |
| Last Update Date | 05/12/2022 |
| Certification Date | 05/12/2022 |
| Medicare PECOS PAC ID | 3870972250 |
|---|---|
| Medicare Enrollment ID | O20220614003233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265016992 | NPI | - | NPPES |
| Provider Name | Sharon R Hasting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861638157 PECOS PAC ID: 7517288228 Enrollment ID: I20150606000207 |
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