Provider Demographics
NPI:1316776511
Name:MCCABE, SHARON (PA-C)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:MCCABE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6565 E CARONDELET DR STE 145
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-2180
Mailing Address - Country:US
Mailing Address - Phone:520-886-4199
Mailing Address - Fax:520-886-3114
Practice Address - Street 1:6565 E CARONDELET DR STE 145
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-2180
Practice Address - Country:US
Practice Address - Phone:520-886-4199
Practice Address - Fax:520-886-3114
Is Sole Proprietor?:No
Enumeration Date:2024-07-29
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA61463091207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology