Individual
SHARI SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
351 HOSPITAL RD, SUITE401, NEWPORT BEACH, CA 92663-3509
(949) 642-6787
(949) 642-4833
Mailing address
351 HOSPITAL RD, SUITE 401, NEWPORT BEACH, CA 92663-3509
(949) 642-6787
(949) 642-4833
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA15548
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WPA15448A
PTAN
CA
Enumeration date
07/04/2006
Last updated
03/11/2008
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