MEDICARE: MRS. SHARON ROSE TASNER FNP

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	363L00000X	Nurse Practitioner	F3329251	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821059163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHARON ROSE TASNER FNP

Provider Business Mailing Address
First Line	:	1150 YOUNGS RD
Second Line	:	SUITE #104
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-8053
Country	:	US
Telephone Number	:	716-636-7979
Fax Number	:	716-636-7993

Provider Business Practice Location Address
First Line	:	1150 YOUNGS RD
Second Line	:	SUITE #104
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-8053
Country	:	US
Telephone Number	:	716-636-7979
Fax Number	:	716-636-7993

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

Provider Enumeration Date	:	03/28/2006
Last Update Date	:	07/13/2010

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