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NPI Code Detail

MEDICARE: THERESA E SHARP DNP, PMHNP-BC, CRNP

MEDICARE:   THERESA E SHARP  DNP, PMHNP-BC, 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
1163W00000XRegistered NurseRN608888PA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerSP021200PA

General Provider Information

NPI Number : 1619280476
Entity Type Code : Individual
Provider Name (Legal Business Name) : THERESA E SHARP DNP, PMHNP-BC, CRNP
Provider Business Mailing Address
First Line : 191 DOGWOOD DR
Second Line :
City : BERNVILLE
State : PA
Zip : 19506-9400
Country : US
Telephone Number : 610-334-9339
Fax Number :
Provider Business Practice Location Address
First Line : 1800 N 12TH ST
Second Line :
City : READING
State : PA
Zip : 19604-1545
Country : US
Telephone Number : 610-816-5728
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2010
Last Update Date : 05/27/2020

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