Healthcare Provider Details

I. General information

NPI: 1730955311
Provider Name (Legal Business Name): CATHY L SHARPE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/27/2023
Last Update Date: 11/27/2023
Certification Date: 11/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 ROCKY LN
GREENFIELD NH
03047-4835
US

IV. Provider business mailing address

46 ROCKY LN
GREENFIELD NH
03047-4835
US

V. Phone/Fax

Practice location:
  • Phone: 603-233-7776
  • Fax:
Mailing address:
  • Phone: 603-233-7776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: