Provider Demographics
NPI:1396875605
Name:COLAIZZI, SHARON WAGGETT (CRNP)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:WAGGETT
Last Name:COLAIZZI
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 1:203 CLUBVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-3018
Mailing Address - Country:US
Mailing Address - Phone:724-941-1551
Mailing Address - Fax:
Practice Address - Street 1:203 CLUBVIEW DR
Practice Address - Street 2:
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-3018
Practice Address - Country:US
Practice Address - Phone:724-941-1551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN291689L163W00000X
PASP006273W363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse