Organization
SHARP ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE SHARP CRNA (OWNER)
(304) 574-1697
Entity
Organization
Contact information
Practice address
1246 BECKWITH RD, FAYETTEVILLE, WV 25840-9575
(304) 574-1679
Mailing address
1246 BECKWITH RD, FAYETTEVILLE, WV 25840-9575
(304) 574-1679
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
64101
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083898019
NPI
WV
Enumeration date
02/29/2016
Last updated
02/29/2016
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