Provider Demographics
NPI:1043022205
Name:IRABOR, SHARON
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:IRABOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9701 EVENING BIRD LN
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-5613
Mailing Address - Country:US
Mailing Address - Phone:240-709-9424
Mailing Address - Fax:
Practice Address - Street 1:9701 EVENING BIRD LN
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20723-5613
Practice Address - Country:US
Practice Address - Phone:240-709-9424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator