Healthcare Provider Details

I. General information

NPI: 1306859947
Provider Name (Legal Business Name): SHARON J. MAGAN PHD, CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 05/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7180 HIGHLAND DR
PITTSBURGH PA
15206-1206
US

IV. Provider business mailing address

7180 HIGHLAND DR
PITTSBURGH PA
15206-1206
US

V. Phone/Fax

Practice location:
  • Phone: 412-954-4244
  • Fax: 412-954-5411
Mailing address:
  • Phone: 412-954-4244
  • Fax: 412-954-5411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberVP006728B
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRN192790L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: