Provider Demographics
NPI:1740268671
Name:BLAUSER, SHARON S (CRNP)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:S
Last Name:BLAUSER
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 1:41 BABCOCK RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16125-9630
Mailing Address - Country:US
Mailing Address - Phone:724-815-7377
Mailing Address - Fax:
Practice Address - Street 1:41 BABCOCK RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:PA
Practice Address - Zip Code:16125-9630
Practice Address - Country:US
Practice Address - Phone:724-815-7377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN275988L163W00000X
PASP003602D363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0107626Medicaid
PA1026011740002Medicaid