Provider Demographics
NPI:1942493655
Name:SCHRACK, SHARI AULENE (CRNP)
Entity type:Individual
Prefix:
First Name:SHARI
Middle Name:AULENE
Last Name:SCHRACK
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:SHARI
Other - Middle Name:AULENE
Other - Last Name:GEUTHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-9800
Mailing Address - Country:US
Mailing Address - Phone:814-272-7100
Mailing Address - Fax:814-272-6519
Practice Address - Street 1:132 ABIGAIL LN
Practice Address - Street 2:
Practice Address - City:PORT MATILDA
Practice Address - State:PA
Practice Address - Zip Code:16870-7153
Practice Address - Country:US
Practice Address - Phone:814-272-7100
Practice Address - Fax:814-272-6519
Is Sole Proprietor?:No
Enumeration Date:2007-08-26
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PANPPA065556363L00000X
PASP009494363L00000X
PARN551805363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1032050040001Medicaid