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NPI Code Detail

MEDICARE: HEATHER SHARP APRN

MEDICARE:   HEATHER  SHARP  APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerSP016435PA
2363LF0000XFamily Nurse PractitionerAPRN.CNP.019619OH

General Provider Information

NPI Number : 1184171431
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER SHARP APRN
Provider Business Mailing Address
First Line : 424 CATHERINE ST
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44505-1508
Country : US
Telephone Number : 330-759-1685
Fax Number :
Provider Business Practice Location Address
First Line : 1391 W 5TH AVE
Second Line : STE 260
City : COLUMBUS
State : OH
Zip : 43212-2902
Country : US
Telephone Number : 844-326-3119
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2016
Last Update Date : 11/20/2019

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Directions to “ HEATHER SHARP APRN” Practice Location

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