Provider Demographics
NPI:1881756856
Name:KATZ, SHARON REBECCA (RN MSN CS)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:REBECCA
Last Name:KATZ
Suffix:
Gender:F
Credentials:RN MSN CS
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Mailing Address - Street 1:1002 STRATFORD AVE
Mailing Address - Street 2:
Mailing Address - City:MELROSE PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-3025
Mailing Address - Country:US
Mailing Address - Phone:215-635-3295
Mailing Address - Fax:
Practice Address - Street 1:1369 OLD YORK RD
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3411
Practice Address - Country:US
Practice Address - Phone:215-884-1776
Practice Address - Fax:215-884-0171
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN-261877163WP0808X
PASPO12003363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA811666Medicare ID - Type Unspecified