Healthcare Provider Details

I. General information

NPI: 1730798356
Provider Name (Legal Business Name): ELEANOR MAE SHARP DORRION FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2020
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2223 WEST STREET
OLEAN NY
14760-1938
US

IV. Provider business mailing address

114 SCHOOL ST
TIONA PA
16352-1021
US

V. Phone/Fax

Practice location:
  • Phone: 716-372-7205
  • Fax: 716-372-4792
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN526191L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP022362
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN526191L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: