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Individual

ANDREW SHARP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
304 WEST 4TH STREET, INDEPENDENCE, LA 70443
(985) 878-8030
(985) 878-4416
Mailing address
102 BEAU SOLEIL PL, MANDEVILLE, LA 70471-1703
(985) 878-8030

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN111957AP04686
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0062420
LA
Enumeration date
03/02/2007
Last updated
02/08/2012
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