Doctor Name: | SONJA MARIE SHARP |
NPI Number: | 1124259205 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N., C.N.P. |
License Number: | 177400-5 |
Business Practice Address: | 6900 78th Ave N #103 Brooklyn Park, MN - 554452719 |
Business Phone Number: | 7635603050 |
Business Fax Number: | 7635600743 |
Mailing Address: | 4511 Aldrich Ave S, MINNEAPOLIS |
State: | MN |
Postal Code: | 554194839 |
Phone Number: | 6122512120 |
Fax Number: | |
NPI Enumeration Date: | 08/06/2009 |
NPI Last Update Date: | 08/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 177400-5 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |