MEDICARE: SHARON PALOTAS CRNP

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	363L00000X	Nurse Practitioner	SP007504	PA

General Provider Information

NPI Number	:	1578566113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON PALOTAS CRNP

Provider Business Mailing Address
First Line	:	1034 GROVE ST
Second Line	:
City	:	MEADVILLE
State	:	PA
Zip	:	16335-2945
Country	:	US
Telephone Number	:	814-333-3945
Fax Number	:	814-333-3947

Provider Business Practice Location Address
First Line	:	765 LIBERTY ST STE 307A
Second Line	:
City	:	MEADVILLE
State	:	PA
Zip	:	16335-2566
Country	:	US
Telephone Number	:	814-333-3945
Fax Number	:	814-333-3947

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

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	10/13/2023

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