Provider Type Icon

SHARON E DURIVAGE APRN-BC NPI 1407033442


NPI Information

NPI: 1407033442
Provider Name: SHARON E DURIVAGE, APRN-BC
Classification: Clinical Nurse Specialist - 364SP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

Address:
303 CHURCH ST
GUILFORD, CT
ZIP 06437
Phone: (203) 689-5307
Get Directions

Sharon E Durivage, APRN-BC is a psychiatric/mental health and adult clinical nurse specialist in Guilford, CT. Sharon E Durivage, APRN-BC NPI is 1407033442. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

303 CHURCH ST
GUILFORD, CT
ZIP 06437-468
Phone: (203) 689-5307
Fax: (203) 689-5803

The enumeration date for this NPI number is 1/22/2008 and was last updated on 9/7/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1364SP0808XClinical Nurse SpecialistPsychiatric/Mental Health26NJ00150200NEW JERSEYNo
2364SP0809XClinical Nurse SpecialistPsychiatric/Mental Health, Adult004454CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D400075042MEDICARE PINCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.