Healthcare Provider Details

I. General information

NPI: 1972781839
Provider Name (Legal Business Name): SHARON TERESE PRESSLER FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2008
Last Update Date: 02/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 EAST BLVD
ELKHART IN
46514-2483
US

IV. Provider business mailing address

205 N MAIN ST
SOUTH WHITLEY IN
46787-1223
US

V. Phone/Fax

Practice location:
  • Phone: 574-294-2621
  • Fax:
Mailing address:
  • Phone: 260-609-3126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number28081495A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: