MEDICARE: KARYN DENISE SHERAR ANP

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	363LP0200X	Pediatric Nurse Practitioner	A03129	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225292592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARYN DENISE SHERAR ANP

Provider Business Mailing Address
First Line	:	614 E EMMA AVE
Second Line	:	SUITE 300
City	:	SPRINGDALE
State	:	AR
Zip	:	72764-4634
Country	:	US
Telephone Number	:	479-751-7417
Fax Number	:	479-751-4898

Provider Business Practice Location Address
First Line	:	1233 W POPLAR ST
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72756-4245
Country	:	US
Telephone Number	:	479-636-9235
Fax Number	:	479-631-0374

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

Provider Enumeration Date	:	07/15/2008
Last Update Date	:	08/27/2013

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Directions to “ KARYN DENISE SHERAR ANP” Practice Location

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