Provider Demographics
NPI:1740376425
Name:ENGLAND, SHARI LYN (PA-C)
Entity type:Individual
Prefix:
First Name:SHARI
Middle Name:LYN
Last Name:ENGLAND
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:442 WOLF RUN RD
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:41044-7542
Mailing Address - Country:US
Mailing Address - Phone:606-782-2484
Mailing Address - Fax:606-759-1808
Practice Address - Street 1:7375 OSWEGO RD STE 1
Practice Address - Street 2:
Practice Address - City:LIVERPOOL
Practice Address - State:NY
Practice Address - Zip Code:13090-3717
Practice Address - Country:US
Practice Address - Phone:315-291-0064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7813-23363A00000X
MI5601011737363A00000X
KYPA729363A00000X
IL85.009745363A00000X
PAMA065508363A00000X
IN10003236A363A00000X
OH50.001838363A00000X
FLPA9115994363A00000X
NJ25MP00708700363A00000X
NY28377363A00000X
RIPA01483363A00000X
CAPA60980363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant