Doctor Name: | SHARON GILMORE |
NPI Number: | 1982799656 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP007736 |
Business Practice Address: | 5 N 3rd St Reynoldsville, PA - 158510907 |
Business Phone Number: | 8146538222 |
Business Fax Number: | 8146539305 |
Mailing Address: | Po Box 447, DU BOIS |
State: | PA |
Postal Code: | 158010447 |
Phone Number: | 8146538222 |
Fax Number: | 8146538164 |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 07/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | SP007736 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |