Provider Demographics
NPI:1588759286
Name:SHARBAUGH, MARSHA (CRNP)
Entity type:Individual
Prefix:
First Name:MARSHA
Middle Name:
Last Name:SHARBAUGH
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:300 E MAIN ST
Mailing Address - Street 2:P O BOX 189
Mailing Address - City:REYNOLDSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15851-1282
Mailing Address - Country:US
Mailing Address - Phone:814-653-8162
Mailing Address - Fax:814-653-8164
Practice Address - Street 1:81 HILLCREST DR
Practice Address - Street 2:SUITE 2300
Practice Address - City:PUNXSUTAWNEY
Practice Address - State:PA
Practice Address - Zip Code:15767-2605
Practice Address - Country:US
Practice Address - Phone:814-938-2602
Practice Address - Fax:814-938-2872
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PASP000477D363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics