Individual
COLLEEN SHARKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
336 DEERFIELD RD, BOONE, NC 28607-5008
(828) 262-4100
(828) 262-4103
Mailing address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 825-7200
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1114137
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
3008457
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100280520
—
KY
01
—
P01294045
RAILROAD MEDICARE
KY
Enumeration date
01/22/2014
Last updated
11/05/2018
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