MEDICARE: SHARON M WEYER CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	NP-07117	OH

General Provider Information

NPI Number	:	1053359166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON M WEYER CNP

Provider Business Mailing Address
First Line	:	9094 SKYLANE DR
Second Line	:
City	:	WADSWORTH
State	:	OH
Zip	:	44281-9513
Country	:	US
Telephone Number	:	330-336-3227
Fax Number	:

Provider Business Practice Location Address
First Line	:	1874 CLEVELAND RD
Second Line	:
City	:	WOOSTER
State	:	OH
Zip	:	44691-2263
Country	:	US
Telephone Number	:	330-262-2500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	07/08/2007

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