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NPI Code Detail

MEDICARE: CHRISTINA MARIE SHARP M. ED.

MEDICARE: CHRISTINA MARIE SHARP M. ED.
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1932958428
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA MARIE SHARP M. ED.
Provider Business Mailing Address
First Line : 191 S EVANS RD
Second Line :
City : EL RENO
State : OK
Zip : 73036-9175
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1950 S SHEPARD AVE
Second Line :
City : EL RENO
State : OK
Zip : 73036-6357
Country : US
Telephone Number : 405-319-0069
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2024
Last Update Date : 07/08/2024

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Directions to “ CHRISTINA MARIE SHARP M. ED.” Practice Location

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