Individual
MAXWELL SHARPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7283 W NASH RD, SPIRIT LAKE, ID 83869-5084
(949) 939-5160
Mailing address
7283 W NASH RD, SPIRIT LAKE, ID 83869-5084
Taxonomy
Speciality
Code
Description
License number
State
2472R0900X
Renal Dialysis Technician
Primary
—
ID
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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