Individual
MRS. SHARON SUSAN FORLENZA-STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,CRNP
Contact information
Practice address
10 W CHESTNUT ST, STE 6, HAZLETON, PA 18201-6423
(570) 501-2941
(570) 501-1194
Mailing address
15 PUBLIC SQ, SUITE 600, WILKES BARRE, PA 18701-1702
(570) 826-1777
(570) 823-3040
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
SP001047G
PA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
SP001047G
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007678420033
—
PA
05
—
1007678420035
—
PA
05
—
1025994230001
—
PA
05
—
1025994230002
—
PA
Enumeration date
04/18/2008
Last updated
10/28/2015
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