Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | UP005860W | PA |
NPI | 1013133032 |
---|---|
Provider Name | Sharon K Stobert |
First Address | Cheswick, PA 15024-1400 |
Second Address | Cheswick, PA 15024-1400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2007 |
Last Update Date | 09/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
S95366 | (02) |