| Doctor Name: | MRS. SHARON SUSAN FORLENZA-STEVENS |
| NPI Number: | 1174797294 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN,CRNP |
| License Number: | SP001047G |
| Business Practice Address: | 10 W Chestnut St Ste 6 Hazleton, PA - 182016423 |
| Business Phone Number: | 5705012941 |
| Business Fax Number: | 5705011194 |
| Mailing Address: | 15 Public Sq, Suite 600 WILKES BARRE |
| State: | PA |
| Postal Code: | 187011702 |
| Phone Number: | 5708261777 |
| Fax Number: | 5708233040 |
| NPI Enumeration Date: | 04/18/2008 |
| NPI Last Update Date: | 10/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | SP001047G |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |