Provider Demographics
NPI:1962538926
Name:BARON, SHARON Y (MSN, RN, APRN-BC)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:Y
Last Name:BARON
Suffix:
Gender:F
Credentials:MSN, RN, APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1715 GREEN VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-2520
Mailing Address - Country:US
Mailing Address - Phone:610-449-6550
Mailing Address - Fax:610-449-6556
Practice Address - Street 1:1715 GREEN VALLEY RD
Practice Address - Street 2:
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-2520
Practice Address - Country:US
Practice Address - Phone:610-449-6550
Practice Address - Fax:610-449-6556
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN178853L364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
PABA 103576 (CRN)OtherPA BLUE SHIELD PROVIDER #