Individual
CRISTY VIRGINIA SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
3025 DOWLEN RD, BEAUMONT, TX 77706-7291
(409) 347-8277
(409) 347-7551
Mailing address
3025 DOWLEN RD, BEAUMONT, TX 77706-7291
(409) 347-8277
(409) 347-7551
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
791310
TX
163W00000X
Registered Nurse
R77796
AR
163W00000X
Registered Nurse
RN096244
LA
363L00000X
Nurse Practitioner
AP04463
LA
363LF0000X
Family Nurse Practitioner
Primary
791310
TX
363LF0000X
Family Nurse Practitioner
A02959ANP
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1463728
—
LA
05
—
163952758
—
AR
05
—
200106270A
—
OK
01
—
4H166
MEDICARE
—
Enumeration date
07/25/2006
Last updated
10/19/2010
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