Individual
CAROL ANN SHARPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24852
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02385SH
BLUE CROSS BLUE SHIELD MN
MN
01
—
0413391
MEDICA
MN
05
—
044702100
—
MN
01
—
110134746
RAILROAD MEDICARE
MN
01
—
55435A010
TRICARE
MN
01
—
583442
AMERICAS PPO/ARAZ
MN
01
—
NA3181022467
PREFERRED ONE
MN
Enumeration date
07/29/2005
Last updated
05/28/2013
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