Provider Demographics
NPI:1548256894
Name:YURAS, SHARON MCNEAL (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:MCNEAL
Last Name:YURAS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12731 BUILDERS RD
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-2931
Mailing Address - Country:US
Mailing Address - Phone:703-689-0636
Mailing Address - Fax:703-476-1050
Practice Address - Street 1:12330 PINECREST RD
Practice Address - Street 2:SUITE 200
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20191-1642
Practice Address - Country:US
Practice Address - Phone:703-476-1050
Practice Address - Fax:703-476-7126
Is Sole Proprietor?:No
Enumeration Date:2005-09-22
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024076395363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAS50461Medicare UPIN
VA004930F42Medicare ID - Type Unspecified