Individual
SHARA FAIRMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4926 HARVEST RD, COLORADO SPRINGS, CO 80917-1015
(609) 529-0410
Mailing address
4926 HARVEST RD, COLORADO SPRINGS, CO 80917-1015
(609) 529-0410
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN.0997711-NP
CO
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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