Individual provider · Type 1 NPI
Sharon Nicole Provisiero, FNP
Nurse Practitioner · Patchogue, NY
Practice location
90 E Main St Ste I
Patchogue, NY 11772-3176
Mailing address
1843 Wisteria Cir
Bellport, NY 11713-3057
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | F360353-01 (NY) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
Other nurse practitioner providers in Patchogue
About NPI 1902713696
Sharon Nicole Provisiero, FNP's National Provider Identifier is 1902713696, issued on Aug 26, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Patchogue, NY. The record was last updated on Sep 4, 2026.