Individual
MR. STORM WAYNE SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 227-3361
(419) 228-3352
Mailing address
DEPT# 42065 PO BOX 650823, DALLAS, TX 75265
(602) 242-4484
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
26NJ15236100
NJ
367500000X
Certified Registered Nurse Anesthetist
CRNA019574
OH
367500000X
Certified Registered Nurse Anesthetist
LE-00020509
OH
Other
Enumeration date
09/11/2017
Last updated
04/29/2025
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