Provider Demographics
NPI:1174834121
Name:SHEERON, BERNADETTE M (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:BERNADETTE
Middle Name:M
Last Name:SHEERON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5501 OLD YORK RD
Mailing Address - Street 2:HACKENBURG 3RD FLOOR
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19141-3018
Mailing Address - Country:US
Mailing Address - Phone:215-456-3285
Mailing Address - Fax:215-456-3533
Practice Address - Street 1:5501 OLD YORK RD
Practice Address - Street 2:HACKENBURG 3RD FLOOR
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19141-3018
Practice Address - Country:US
Practice Address - Phone:215-456-3285
Practice Address - Fax:215-456-3533
Is Sole Proprietor?:No
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP009564363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner