Healthcare Provider Details

I. General information

NPI: 1598200693
Provider Name (Legal Business Name): BRANDY SHARPE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2016
Last Update Date: 12/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 BILTMORE AVE
ASHEVILLE NC
28801-4601
US

IV. Provider business mailing address

218 FALLS ST APT A
MORGANTON NC
28655-4360
US

V. Phone/Fax

Practice location:
  • Phone: 828-213-1111
  • Fax:
Mailing address:
  • Phone: 828-640-0174
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License Number6600
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: