Provider Demographics
NPI:1285903393
Name:SHARP, KRISTEN (LPN)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:SHARP
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 E TOMPKINS ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-3032
Mailing Address - Country:US
Mailing Address - Phone:614-569-1339
Mailing Address - Fax:
Practice Address - Street 1:210 E TOMPKINS ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43202-3032
Practice Address - Country:US
Practice Address - Phone:614-569-1339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-19
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH139225-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse