| Doctor Name: | MR. IVON BLAINE SHARP |
| NPI Number: | 1033263926 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ARNP, FNP-C |
| License Number: | RN075586 AP03675 |
| Business Practice Address: | 10200 S March Point Rd Anacortes, WA - 982218662 |
| Business Phone Number: | 3602939142 |
| Business Fax Number: | 3602931623 |
| Mailing Address: | 1112 5th St, ANACORTES |
| State: | WA |
| Postal Code: | 982211708 |
| Phone Number: | 9852093851 |
| Fax Number: | |
| NPI Enumeration Date: | 01/22/2007 |
| NPI Last Update Date: | 09/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN075586 AP03675 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |