Provider Demographics
NPI:1922478312
Name:MARTIN, SHARON A (CRNP)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:A
Last Name:MARTIN
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 1:2581 WASHINGTON RD STE 211
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-2564
Mailing Address - Country:US
Mailing Address - Phone:412-257-5900
Mailing Address - Fax:412-833-6001
Practice Address - Street 1:2581 WASHINGTON RD STE 211
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-2564
Practice Address - Country:US
Practice Address - Phone:412-257-5900
Practice Address - Fax:412-833-6001
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-29
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP015235363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASP015235OtherCRNP CERTIFICATION
PASP015235OtherCRNP CERTIFICATION