Healthcare Provider Details

I. General information

NPI: 1023091733
Provider Name (Legal Business Name): JOAN P MIDON CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/28/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1302 7TH AVE
BEAVER FALLS PA
15010-4217
US

IV. Provider business mailing address

100 SHENANGO AVE
SHARON PA
16146-1503
US

V. Phone/Fax

Practice location:
  • Phone: 724-843-4010
  • Fax: 724-843-8728
Mailing address:
  • Phone: 724-704-7386
  • Fax: 724-704-7390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN129402L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberSP000098A
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: