Healthcare Provider Details

I. General information

NPI: 1649238239
Provider Name (Legal Business Name): SHARON L ZACHE CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S 7TH AVE SUITE 210
WEST READING PA
19611-1410
US

IV. Provider business mailing address

301 S 7TH AVE SUITE 210
WEST READING PA
19611-1410
US

V. Phone/Fax

Practice location:
  • Phone: 610-376-8169
  • Fax: 610-376-0164
Mailing address:
  • Phone: 610-376-8169
  • Fax: 610-376-0164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberSP002267C
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: