Doctor Name: | MRS. CAROL LYNN SHARP |
NPI Number: | 1275534570 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. / OGNP |
License Number: | 4704155434 |
Business Practice Address: | 600 S Lakeview St Suite 207 Sturgis, MI - 490912371 |
Business Phone Number: | 2696594646 |
Business Fax Number: | 2696512210 |
Mailing Address: | 600 S Lakeview St, Suite 207 STURGIS |
State: | MI |
Postal Code: | 490912371 |
Phone Number: | 2696594646 |
Fax Number: | 2696512210 |
NPI Enumeration Date: | 08/09/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 4704155434 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |