Healthcare Provider Details

I. General information

NPI: 1164758876
Provider Name (Legal Business Name): RHONDA LOUISE SHARP PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2009
Last Update Date: 01/06/2022
Certification Date: 01/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8410 DECATUR STREET SUITE 100
WESTMINSTER CO
80031
US

IV. Provider business mailing address

1635 SOUTH DECATUR STEET
DENVER CO
80210
US

V. Phone/Fax

Practice location:
  • Phone: 303-430-7000
  • Fax: 303-430-1506
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number2083
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: