Provider Demographics
NPI:1124259205
Name:SHARP, SONJA MARIE (RN, CNP)
Entity type:Individual
Prefix:
First Name:SONJA
Middle Name:MARIE
Last Name:SHARP
Suffix:
Gender:F
Credentials:RN, CNP
Other - Prefix:
Other - First Name:SONJA
Other - Middle Name:MARIE
Other - Last Name:MOENCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:671 VANDALIA ST
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55114-1312
Mailing Address - Country:US
Mailing Address - Phone:800-268-9150
Mailing Address - Fax:
Practice Address - Street 1:671 VANDALIA ST
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55114-1312
Practice Address - Country:US
Practice Address - Phone:800-268-9150
Practice Address - Fax:651-696-5543
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAF156442363LW0102X
NE112905363LW0102X
SDCP001220363LW0102X
MN177400-5363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health