Provider Demographics
NPI:1568095362
Name:SHARMA, AMANDEEP (CRNP)
Entity Type:Individual
Prefix:
First Name:AMANDEEP
Middle Name:
Last Name:SHARMA
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-7134
Mailing Address - Fax:
Practice Address - Street 1:671 WILSON AVE
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-9519
Practice Address - Country:US
Practice Address - Phone:717-339-2560
Practice Address - Fax:717-334-0929
Is Sole Proprietor?:No
Enumeration Date:2020-02-20
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP021056363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner