Healthcare Provider Details

I. General information

NPI: 1053321083
Provider Name (Legal Business Name): SHARON RICHARDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 06/15/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 E STATE ST JAMESON HOSPITAL
SHARON PA
16146-3328
US

IV. Provider business mailing address

345 HOLLY LN JAMESON HOSPITAL
NEW CASTLE PA
16105-1569
US

V. Phone/Fax

Practice location:
  • Phone: 724-983-3911
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN230951L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: