Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | R160233 | MD |
Y | 363LA2200X | Nurse Practitioner - Adult Health | SP010979 | PA |
NPI | 1003120064 |
---|---|
Provider Name | Mrs. Anuradha Sharma |
First Address | York, PA 17402-9001 |
Second Address | York, PA 17403-3676 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2010 |
Last Update Date | 30/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1603771 | GATEWAY MEDICARE ASSURED (01) | PA |
2678304 | HIGHMARK BLUE SHIELD - FREEDOM BLUE (01) | PA |