Provider Demographics
NPI:1285362749
Name:MATTHEW C SHARPE NURSE PRACTITIONER IN PSYCHIATRY PLLC
Entity type:Organization
Organization Name:MATTHEW C SHARPE NURSE PRACTITIONER IN PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:SHARPE
Authorized Official - Suffix:
Authorized Official - Credentials:NPP
Authorized Official - Phone:585-709-8807
Mailing Address - Street 1:1577 SOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-3914
Mailing Address - Country:US
Mailing Address - Phone:585-709-8807
Mailing Address - Fax:585-386-8071
Practice Address - Street 1:1577 SOUTH AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-3914
Practice Address - Country:US
Practice Address - Phone:585-709-8807
Practice Address - Fax:585-386-8071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-11
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty