Provider Demographics
NPI:1386781524
Name:SHARP, LESLIE (RN)
Entity type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:
Last Name:SHARP
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6835 E HEARN RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-3414
Mailing Address - Country:US
Mailing Address - Phone:480-699-6138
Mailing Address - Fax:
Practice Address - Street 1:5520 N 86TH ST
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85250-6712
Practice Address - Country:US
Practice Address - Phone:480-484-5211
Practice Address - Fax:480-484-5201
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN087201163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool