Individual
MR. WILBUR ERIC SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NNP-BC
Contact information
Practice address
3330 MASONIC DR, ALEXANDRIA, LA 71301-3841
(318) 448-6827
Mailing address
113 CREEK BEND RD, JONESVILLE, LA 71343-3907
(318) 403-8025
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
AP05898
LA
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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