Provider Demographics
NPI:1700430725
Name:STROMYER, SHAYLA NICOLE (CRNP)
Entity Type:Individual
Prefix:
First Name:SHAYLA
Middle Name:NICOLE
Last Name:STROMYER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:SHAYLA
Other - Middle Name:NICOLE
Other - Last Name:KNOX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1606 CARMODY CT STE 202
Mailing Address - Street 2:
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-8566
Mailing Address - Country:US
Mailing Address - Phone:724-933-1500
Mailing Address - Fax:724-933-1510
Practice Address - Street 1:1606 CARMODY CT STE 202
Practice Address - Street 2:
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-8566
Practice Address - Country:US
Practice Address - Phone:724-933-1500
Practice Address - Fax:724-933-1510
Is Sole Proprietor?:No
Enumeration Date:2019-07-29
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP020434363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
15378130OtherCAQH