Provider Demographics
NPI:1215609268
Name:SHARPSTEEN, GAYLE (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:GAYLE
Middle Name:
Last Name:SHARPSTEEN
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14286 WHITFIELD RD
Mailing Address - Street 2:
Mailing Address - City:EOLA
Mailing Address - State:TX
Mailing Address - Zip Code:76937-9750
Mailing Address - Country:US
Mailing Address - Phone:325-656-5539
Mailing Address - Fax:
Practice Address - Street 1:120 E HARRIS AVE
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76903-5904
Practice Address - Country:US
Practice Address - Phone:325-653-6741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-29
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1049486363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty