Provider Demographics
NPI:1861528408
Name:DANELLO, SHARON K (PA-C)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:K
Last Name:DANELLO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:K
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:2682 COURT DR STE B
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-1442
Mailing Address - Country:US
Mailing Address - Phone:704-824-0500
Mailing Address - Fax:
Practice Address - Street 1:2682 COURT DR STE B
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-1442
Practice Address - Country:US
Practice Address - Phone:704-824-0500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant