Healthcare Provider Details

I. General information

NPI: 1811069776
Provider Name (Legal Business Name): SHARON ELIZABETH HARTSELL NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHARON ELIZABETH KING

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 GROVE RD
GREENVILLE SC
29605-4649
US

IV. Provider business mailing address

255 ENTERPRISE BLVD SUITE 250
GREENVILLE SC
29615-6300
US

V. Phone/Fax

Practice location:
  • Phone: 864-455-2300
  • Fax:
Mailing address:
  • Phone: 864-454-0888
  • Fax: 864-454-1130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0106X
TaxonomyOccupational Health Nurse Practitioner
License NumberAPN556
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: