Sharon Doherty, REGISTERED NURSE
Individual provider Active NPI Registered Nurse · Glenside, PA
NPI 1124472626 · NPPES record last updated Apr 20, 2016
Key facts
- NPI
- 1124472626
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN667862 (PA)
- Practice address
- 2223 Wharton Rd
Glenside, PA 19038-4805 - Phone
- (215) 884-1177
- NPI assigned
- Apr 20, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN667862 | PA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN667862 | PA | Yes |
Addresses
Primary practice location
2223 Wharton Rd
Glenside, PA 19038-4805
Mailing address
2223 Wharton Rd
Glenside, PA 19038-4805
Phone (215) 884-1177
Other providers in Glenside, PA
- Lee Deheer
- Jessica Rose Dejneka
- Maryann Devlin
- Anna Juliet Diaz-Poore
- Divine Providence Village
- Bridget Donlan
- Ann Marie Donohue
- Dr. Benjamin K Azizi
- Drljw Inc.
- DRS. Marcy and Newell
All providers in Glenside, PA · Registered Nurse in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.