Provider Demographics
NPI:1053364018
Name:SHARPE, CAROL M (NP)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:M
Last Name:SHARPE
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:1430 TRUXTUN AVE
Mailing Address - Street 2:400
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-5246
Mailing Address - Country:US
Mailing Address - Phone:661-635-3050
Mailing Address - Fax:661-326-1347
Practice Address - Street 1:67 EVANS ROAD
Practice Address - Street 2:
Practice Address - City:WOFFORD HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:93285
Practice Address - Country:US
Practice Address - Phone:760-376-2276
Practice Address - Fax:760-376-4801
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2010-05-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA847363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ70293ZMedicaid
CAR21911Medicare UPIN