Provider Demographics
NPI:1841763521
Name:MCELROY, SHARON MALAURA (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:MALAURA
Last Name:MCELROY
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17377 FISHERMANS DR
Mailing Address - Street 2:
Mailing Address - City:TROUP
Mailing Address - State:TX
Mailing Address - Zip Code:75789-3701
Mailing Address - Country:US
Mailing Address - Phone:903-954-0313
Mailing Address - Fax:
Practice Address - Street 1:3187 PALUXY DR
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-8303
Practice Address - Country:US
Practice Address - Phone:903-787-7533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-06
Last Update Date:2019-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139495363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner