Individual
SHARON MIRAKIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
937 E HAVERFORD RD, SUITE 100, BRYN MAWR, PA 19010-3800
(610) 525-4966
Mailing address
9233B JAMISON AVE, PHILADELPHIA, PA 19115-4282
(215) 738-6646
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN289119L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN289119L
LICENSE
PA
Enumeration date
11/24/2009
Last updated
03/12/2010
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