Healthcare Provider Details

I. General information

NPI: 1992217715
Provider Name (Legal Business Name): SHARON FRICKE FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2017
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5080 DELHI RD
CINCINNATI OH
45238-5343
US

IV. Provider business mailing address

PO BOX 932958
CLEVELAND OH
44193-0028
US

V. Phone/Fax

Practice location:
  • Phone: 513-347-1925
  • Fax:
Mailing address:
  • Phone: 513-347-1925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number021976
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: