Healthcare Provider Details

I. General information

NPI: 1255484150
Provider Name (Legal Business Name): JANELLE M. SHARMA CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 12/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1627 W CHEW ST 1ST FLOOR
ALLENTOWN PA
18102-3648
US

IV. Provider business mailing address

PO BOX 783311
PHILADELPHIA PA
19178-3311
US

V. Phone/Fax

Practice location:
  • Phone: 610-402-7880
  • Fax: 610-402-7881
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP009190
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: