# SHERRY L SHIRE-MISNIK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1770721433
- **Gender:** F
- **Credential:** CRNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | UP006975C | PA | Yes |

## Other

- **Enumeration date:** 02/03/2009
- **Last updated:** 11/30/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1030059990001 | — | PA |
| 01 | — | 2842578 | CIGNA PA | PA |
| 01 | — | 30205734 | KEYSTONE FIRST | PA |
| 01 | — | 3078467 | HIGHMARK BLUE SHIELD | PA |
| 01 | — | 3931789000 | KEYSTONE IBC | PA |
| 01 | — | 4692564 | AETNA | PA |
| 01 | — | P01404986 | RAILROAD MEDICARE | PA |