Healthcare Provider Details

I. General information

NPI: 1922478312
Provider Name (Legal Business Name): SHARON A MARTIN CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2015
Last Update Date: 03/07/2023
Certification Date: 04/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2581 WASHINGTON RD STE 211
PITTSBURGH PA
15241-2564
US

IV. Provider business mailing address

2581 WASHINGTON RD STE 211
PITTSBURGH PA
15241-2564
US

V. Phone/Fax

Practice location:
  • Phone: 412-257-5900
  • Fax: 412-833-6001
Mailing address:
  • Phone: 412-257-5900
  • Fax: 412-833-6001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP015235
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP015235
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: