Provider Demographics
NPI:1699747204
Name:SHARO, TERRI LYNNE (CRNP)
Entity type:Individual
Prefix:MS
First Name:TERRI
Middle Name:LYNNE
Last Name:SHARO
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 1:2616 WILMINGTON RD
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-1530
Mailing Address - Country:US
Mailing Address - Phone:724-652-2323
Mailing Address - Fax:724-654-3461
Practice Address - Street 1:2616 WILMINGTON RD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-1530
Practice Address - Country:US
Practice Address - Phone:724-652-2323
Practice Address - Fax:724-654-3461
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP008779363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1017236460002Medicaid
PA1017236460002Medicaid
PAQ57602Medicare UPIN