Healthcare Provider Details

I. General information

NPI: 1467875286
Provider Name (Legal Business Name): SHARON SCHULEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2014
Last Update Date: 01/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 OVERLOOK RD SUITE L-03
SUMMIT NJ
07901-3570
US

IV. Provider business mailing address

PO BOX 416457
BOSTON MA
02241-6457
US

V. Phone/Fax

Practice location:
  • Phone: 908-522-5800
  • Fax:
Mailing address:
  • Phone: 973-971-4179
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number26NJ00168300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: