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NPI Code Detail

MEDICARE: SHARON HOLLENKAMP CRNA

MEDICARE: SHARON HOLLENKAMP CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistR48054NM

General Provider Information

NPI Number : 1437146701
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON HOLLENKAMP CRNA
Provider Business Mailing Address
First Line : 2108 CALLE DE CODORNIZ
Second Line :
City : CARLSBAD
State : NM
Zip : 88220-4188
Country : US
Telephone Number : 505-887-8910
Fax Number :
Provider Business Practice Location Address
First Line : 2430 W PIERCE ST
Second Line :
City : CARLSBAD
State : NM
Zip : 88220-3553
Country : US
Telephone Number : 505-887-4191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2005
Last Update Date : 07/08/2007

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Directions to “ SHARON HOLLENKAMP CRNA” Practice Location

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