Individual
SHERRY L SHIRE-MISNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2500 INTERPLEX DR, TREVOSE, PA 19053-6943
(267) 991-7601
(267) 991-7618
Mailing address
41 UNIVERSITY DR, SUITE 300, NEWTOWN, PA 18940-1873
(215) 710-5522
(215) 710-5181
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
UP006975C
PA
Other
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
Enumeration date
02/03/2009
Last updated
11/30/2021
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