Provider Demographics
NPI:1164931630
Name:GADE, SHEETAL J (CRNP)
Entity Type:Individual
Prefix:
First Name:SHEETAL
Middle Name:J
Last Name:GADE
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 1:582 ROYER DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-5186
Mailing Address - Country:US
Mailing Address - Phone:717-824-3112
Mailing Address - Fax:
Practice Address - Street 1:1001 CORNERSTONE DR STE B
Practice Address - Street 2:
Practice Address - City:MOUNT JOY
Practice Address - State:PA
Practice Address - Zip Code:17552-9416
Practice Address - Country:US
Practice Address - Phone:717-653-2929
Practice Address - Fax:717-492-0699
Is Sole Proprietor?:No
Enumeration Date:2017-09-27
Last Update Date:2017-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP018080363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily