Provider Demographics
NPI:1053002410
Name:SHARP, RACHEL ANNE (MSN, FNP-BC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANNE
Last Name:SHARP
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 S 2000 E
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84112-5880
Mailing Address - Country:US
Mailing Address - Phone:801-581-3414
Mailing Address - Fax:
Practice Address - Street 1:120 W 1300 S
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84115-5230
Practice Address - Country:US
Practice Address - Phone:801-486-4877
Practice Address - Fax:801-486-9943
Is Sole Proprietor?:No
Enumeration Date:2023-05-17
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10386681-3102163W00000X
UT10386681-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse