| Sharon S Griswold, CRNA | |
|
3130 Grandview Rd, Hanover, PA 17331-9134 | |
| (517) 787-6440 | |
| (517) 787-4146 |
| Full Name | Sharon S Griswold |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3130 Grandview Rd, Hanover, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780631739 | NPI | - | NPPES |
| AN0320 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WM0705X | Registered Nurse - Medical-surgical | RN559353 (Pennsylvania) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 040711 (Pennsylvania) | Primary |
| Entity Name | Forty Fort Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346600038 PECOS PAC ID: 8628375763 Enrollment ID: O20160405000188 |
| Mailing Address | Practice Location Address |
|---|---|
| Sharon S Griswold, CRNA 255 W Michigan Ave, Jackson, MI 49201-2218 Ph: (517) 787-6440 | Sharon S Griswold, CRNA 3130 Grandview Rd, Hanover, PA 17331-9134 Ph: (517) 787-6440 |
Mrs. Gwen Marie Jensen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Highland Ave, Hanover, PA 17331 Phone: 717-637-3711 | |
Robin E. Eyster, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 250 Fame Ave Ste 130, Hillside Ii, Quad D, Hanover, PA 17331 Phone: 717-633-1600 | |
Sarah Rohrbaugh, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1227 Baltimore St, Hanover, PA 17331 Phone: 717-646-4204 |