Healthcare Provider Details

I. General information

NPI: 1215142575
Provider Name (Legal Business Name): SHARON COLSON CARLISLE C.N.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2007
Last Update Date: 08/31/2023
Certification Date: 08/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 MCDOWELL STREET
ASHEVILLE NC
28801-4104
US

IV. Provider business mailing address

68 MCDOWELL STREET
ASHEVILLE NC
28801-4104
US

V. Phone/Fax

Practice location:
  • Phone: 828-252-7928
  • Fax:
Mailing address:
  • Phone: 828-252-7928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number1350972
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: