Individual
CASEY SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
EAST HWY 18, PINE RIDGE, SD 57770-1201
(605) 867-5131
(605) 867-3006
Mailing address
PO BOX 1201, PINE RIDGE, SD 57770-1201
(605) 867-5131
(605) 867-3006
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
76610
NE
Other
Enumeration date
11/21/2013
Last updated
11/21/2013
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