Healthcare Provider Details

I. General information

NPI: 1336691948
Provider Name (Legal Business Name): SHERI HOWLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHERI HOSBACH

II. Dates (important events)

Enumeration Date: 10/30/2016
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 E FRONT ST # 2
MEDIA PA
19063-3521
US

IV. Provider business mailing address

306 E FRONT ST # 2
MEDIA PA
19063-3521
US

V. Phone/Fax

Practice location:
  • Phone: 610-809-6973
  • Fax:
Mailing address:
  • Phone: 610-809-6973
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberSP016691
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP016691
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP033119
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: