MS. KELLY L SHARKEY (NPI# 1336327022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336327022 |
Entity Type | Individual |
Full Name | MS. KELLY L SHARKEY |
Credential | NP-C |
Practice Address |
1300 Black Horse Pike Glendora NJ 08029-1308 |
Mailing Address |
188 Fries Mill Rd Ste N3 Turnersville NJ 08012-2055 |
Practice Telephone | 8569392828 |
Practice Fax Number | 8569395057 |
Mailing Telephone | 8568758000 |
Enumeration Date | 2008-02-05 |
Last Update Date | 2020-02-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26NJ00149700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 021784MT3 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
188 Fries Mill Rd Ste N3, Turnersville, NJ 080122055 | 8568758000 |
Street Address |
1300 BLACK HORSE PIKE |
City | GLENDORA |
State | NJ |
Zip Code | 08029-1308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891786455 | Benjamin Ira Blank | Family Medicine | 1300 Black Horse Pike, Glendora, NJ 08029-1308 | 2005-11-02 |
1306291042 | Victoria Lee Calendo | Nurse Practitioner | 1300 Black Horse Pike, Glendora, NJ 08029-1308 | 2016-05-02 |
1811250541 | Advocare, LLC | Family Medicine | 1300 Black Horse Pike, Glendora, NJ 08029-1308 | 2012-06-18 |
1891901781 | Beth R. Bergman | Nurse Practitioner | 1300 Black Horse Pike, Glendora, NJ 08029-1308 | 2007-05-15 |
1316985278 | John Clark | Chiropractor | 1300 Black Horse Pike, Glendora, NJ 08029-1308 | 2006-06-03 |
1750336392 | Glendora Family Practice LLC | Family Medicine | 1300 Black Horse Pike, Glendora, NJ 08029-1308 | 2006-05-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932273711 | Bruce Kerensky | Dentist | 120 E Evesham Road, Glendora, NJ 08029 | 2006-11-20 |
1700891694 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1301 Black Horse Pike, Glendora, NJ 08029 | 2006-07-29 |
1295115996 | Aja Brianna Corchado | Specialist/Technologist | 104 Bozarth Ave, Glendora, NJ 08029-1241 | 2015-06-08 |
1841481918 | Gail Judith Hallof | Nurse Anesthetist, Certified Registered | 204 W Evesham Rd, Glendora, NJ 08029-1246 | 2007-08-05 |
1770731697 | Roderick Joseph Sandiego | Registered Nurse | 517 N Hildebrand Ave, Glendora, NJ 08029-1276 | 2008-09-04 |
1114530433 | Quanhao Fu | Pharmacist | 1301 Black Horse Pike, Glendora, NJ 08029-1307 | 2020-08-26 |
1558902635 | Zoya Kakar | Pharmacist | 1301 Black Horse Pike, Glendora, NJ 08029-1307 | 2019-10-01 |
1326315631 | Mona Patel | Pharmacist | 1301 Black Horse Pike, Glendora, NJ 08029-1307 | 2011-11-30 |
1598048761 | Ty Lam | Pharmacist | 1301 Black Horse Pike, Glendora, NJ 08029-1307 | 2011-09-23 |
1285917609 | Valerie Anne Mcguigan | Pharmacist | 1301 Black Horse Pike, Glendora, NJ 08029-1307 | 2011-09-21 |
Find all providers in zip 08029 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003439365 | Dennis Poon | Nurse Practitioner | 451 E Ada Ave, Glendora, CA 91741-3409 | 2020-05-21 |
1215559638 | Kenny Tokuji Michioka | Nurse Practitioner | 1208 S Barranca Ave Unit C, Glendora, CA 91740 | 2020-05-07 |
1841832847 | Chelsea Fujita-haffner | Nurse Practitioner | 552 W Foothill Blvd # 200, Glendora, CA 91741-2470 | 2019-10-10 |
1144761842 | Hoi Man Carman Chan | Nurse Practitioner | 130 W Route 66 Ste 208, Glendora, CA 91740-6251 | 2017-03-14 |
1528481223 | Lucinda Lorraine Schoenick | Nurse Practitioner | 250 S. Grand Ave, Glendora, CA 91741 | 2014-01-31 |
1285061168 | Nam Dao | Nurse Practitioner | 1377 S. Grand Ave, Glendora, CA 91740 | 2013-10-09 |
1316101843 | Glendora Clinic | Nurse Practitioner | 44 Westbrooks Ave, Glendora, MS 38928 | 2008-07-14 |
1396251039 | I-hui Yang | Nurse Practitioner | 1377 S Grand Ave, Glendora, CA 91740-5047 | 2017-12-18 |
1447770581 | Edgar Sunglao Evangelista | Nurse Practitioner | 250 S Grand Ave, Glendora, CA 91741-4218 | 2017-06-20 |
1306291042 | Victoria Lee Calendo | Nurse Practitioner | 1300 Black Horse Pike, Glendora, NJ 08029-1308 | 2016-05-02 |
Find all providers in GLENDORA |
Please comment or provide details below to improve the information on MS. KELLY L SHARKEY.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.