Organization
ELIZABETH A SHARP-MARSDEN FNP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH A SHARP-MARSDEN FNP (OWNER)
(208) 313-7900
Entity
Organization
Contact information
Practice address
2275 CHANNING WAY, IDAHO FALLS, ID 83404-8012
(208) 313-7900
Mailing address
PO BOX 2426, IDAHO FALLS, ID 83403-2426
(208) 535-9009
(208) 535-9020
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53940
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326532201
—
ID
Enumeration date
06/14/2018
Last updated
03/06/2019
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