MEDICARE: DR. CHELSEA TAYLOR SHARP DO

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
1	207V00000X	Obstetrics & Gynecology Physician	5151014300	MI
2	207V00000X	Obstetrics & Gynecology Physician	DO3768	NV

General Provider Information

NPI Number	:	1619599396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHELSEA TAYLOR SHARP DO

Provider Business Mailing Address
First Line	:	9970 W CHEYENNE AVE # 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-7700
Country	:	US
Telephone Number	:	702-978-8900
Fax Number	:	702-978-7617

Provider Business Practice Location Address
First Line	:	9970 W CHEYENNE AVE # 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-7700
Country	:	US
Telephone Number	:	702-978-8900
Fax Number	:	702-978-7617

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2020
Last Update Date	:	09/11/2024

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Directions to “ DR. CHELSEA TAYLOR SHARP DO” Practice Location

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