Individual
KATRINA G SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3401 E 30TH ST STE A, FARMINGTON, NM 87402-8805
(505) 599-8625
Mailing address
3401 E 30TH ST STE A, FARMINGTON, NM 87402-8805
(505) 599-8625
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
422841
NM
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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