Provider Demographics
NPI:1447293808
Name:ROGERS, SHARI CRAMER (CRNP)
Entity type:Individual
Prefix:
First Name:SHARI CRAMER
Middle Name:
Last Name:ROGERS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 EASY ST
Mailing Address - Street 2:SUITE 127
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-3129
Mailing Address - Country:US
Mailing Address - Phone:724-430-8755
Mailing Address - Fax:724-434-1659
Practice Address - Street 1:211 EASY ST
Practice Address - Street 2:SUITE 211
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-3129
Practice Address - Country:US
Practice Address - Phone:724-439-4230
Practice Address - Fax:724-439-4386
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP004307M363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA010030GAHMedicare PIN
PAS55907Medicare UPIN