Individual
STACY LYNN SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
104 S LAKEVIEW AVE, STURGIS, MI 49091-1947
(269) 319-8850
Mailing address
31611 W COLON RD, COLON, MI 49040-9528
(517) 617-6725
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704331146
MI
Other
Enumeration date
02/01/2022
Last updated
02/02/2022
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