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Individual

MRS. CAROL LYNN SHARP

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
R.N. / OGNP

Contact information

Practice address
600 S LAKEVIEW ST, SUITE 207, STURGIS, MI 49091-2371
(269) 659-4646
(269) 651-2210
Mailing address
600 S LAKEVIEW ST, SUITE 207, STURGIS, MI 49091-2371
(269) 659-4646
(269) 651-2210

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4704155434
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4205605
MI
01
5008763580
BCBS
MI
Enumeration date
08/09/2005
Last updated
07/08/2007
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