Provider Demographics
NPI:1912378928
Name:BALDASSARI, SHERRY (CRNP)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:
Last Name:BALDASSARI
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:SHERRY
Other - Middle Name:
Other - Last Name:CAMPBELL
Other - Suffix:
Other - Last Name Type:Former Name
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:717-262-2665
Mailing Address - Fax:717-267-0159
Practice Address - Street 1:22 ST PAUL DR STE 101
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-1036
Practice Address - Country:US
Practice Address - Phone:717-262-2665
Practice Address - Fax:717-267-0159
Is Sole Proprietor?:No
Enumeration Date:2015-10-16
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP022102363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health