Provider Demographics
NPI:1336523406
Name:SOLOMON, SHERINE (NP)
Entity type:Individual
Prefix:
First Name:SHERINE
Middle Name:
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:SHERINE
Other - Middle Name:SHANNAE
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:406 FARMINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032-1964
Mailing Address - Country:US
Mailing Address - Phone:860-696-2240
Mailing Address - Fax:860-276-9885
Practice Address - Street 1:406 FARMINGTON AVE
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-1964
Practice Address - Country:US
Practice Address - Phone:860-696-2240
Practice Address - Fax:860-276-9885
Is Sole Proprietor?:No
Enumeration Date:2015-07-17
Last Update Date:2025-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2295498363LF0000X
CT9323363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily