Individual
ANGELA CAVANAUGH SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501-4294
(931) 783-2770
(931) 525-1176
Mailing address
2300 PATTERSON ST STE 502, NASHVILLE, TN 37203-1538
(615) 515-1900
(615) 292-4633
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21906
TN
363LC0200X
Critical Care Medicine Nurse Practitioner
21906
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6081577
BCBS
TN
05
—
7100445980
—
KY
05
—
Q024691
—
TN
Enumeration date
10/05/2016
Last updated
01/04/2022
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