Healthcare Provider Details

I. General information

NPI: 1386793990
Provider Name (Legal Business Name): SHARON L ERNST CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 LAKESIDE AVE E SUITE 1000
CLEVELAND OH
44114-1158
US

IV. Provider business mailing address

800 GROVE ST NE
CANTON OH
44721-3107
US

V. Phone/Fax

Practice location:
  • Phone: 330-472-8080
  • Fax: 216-420-9354
Mailing address:
  • Phone: 330-472-8080
  • Fax: 330-494-8231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number107638
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: