MEDICARE: KAPIL SHARMA CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LG0600X	Gerontology Nurse Practitioner	RN813283	PA

General Provider Information

NPI Number	:	1568394070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAPIL SHARMA CRNP

Provider Business Mailing Address
First Line	:	116 IVY MILLS RD
Second Line	:
City	:	GLEN MILLS
State	:	PA
Zip	:	19342-1467
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	116 IVY MILLS RD
Second Line	:
City	:	GLEN MILLS
State	:	PA
Zip	:	19342-1467
Country	:	US
Telephone Number	:	224-440-3177
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2026
Last Update Date	:	06/02/2026

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