Individual
WILLIAM WADE SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
400 N EDWARDS ST, ENTERPRISE, AL 36330-2510
(334) 347-0584
Mailing address
408 OAK LAKE DR, ENTERPRISE, AL 36330-8977
(334) 709-4061
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-077166
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-077166
ALABAMA BOARD OF NURSING
AL
Enumeration date
07/28/2006
Last updated
12/15/2009
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