Individual
DIANE E. SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8304
(405) 752-3586
(405) 936-5204
Mailing address
6921 E DANFORTH RD, EDMOND, OK 73034-7602
(405) 249-4351
(405) 936-5211
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0025941
OK
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
194-12129
OK
Other
Enumeration date
01/11/2008
Last updated
05/18/2008
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