Healthcare Provider Details

I. General information

NPI: 1508807728
Provider Name (Legal Business Name): SHARON PHILLIPS PEARCE CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 N BRIGHTLEAF BLVD
SMITHFIELD NC
27577-4407
US

IV. Provider business mailing address

880 TELLURIDE TRAIL
GARNER NC
27529
US

V. Phone/Fax

Practice location:
  • Phone: 919-938-6629
  • Fax:
Mailing address:
  • Phone: 336-250-6008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number086717
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number1530
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: