MEDICARE: MRS. SHARON K ANGERER RN

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	163W00000X	Registered Nurse	RN611350	PA

General Provider Information

NPI Number	:	1417231341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHARON K ANGERER RN

Provider Business Mailing Address
First Line	:	7391 W LAKE RD
Second Line	:
City	:	FAIRVIEW
State	:	PA
Zip	:	16415-1401
Country	:	US
Telephone Number	:	814-474-3462
Fax Number	:

Provider Business Practice Location Address
First Line	:	7391 W LAKE RD
Second Line	:
City	:	FAIRVIEW
State	:	PA
Zip	:	16415-1401
Country	:	US
Telephone Number	:	814-474-3462
Fax Number	:

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

Provider Enumeration Date	:	10/11/2011
Last Update Date	:	10/11/2011

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