Provider Demographics
NPI:1427479526
Name:SHARP, ROBYNN LYNN (NP)
Entity type:Individual
Prefix:
First Name:ROBYNN
Middle Name:LYNN
Last Name:SHARP
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:ROBYNN
Other - Middle Name:LYNN
Other - Last Name:WESTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:PO BOX 766
Mailing Address - Street 2:
Mailing Address - City:BURNS FLAT
Mailing Address - State:OK
Mailing Address - Zip Code:73624-0766
Mailing Address - Country:US
Mailing Address - Phone:559-794-4517
Mailing Address - Fax:
Practice Address - Street 1:305 CHEROKEE TRL
Practice Address - Street 2:
Practice Address - City:FOSS
Practice Address - State:OK
Practice Address - Zip Code:73647-9013
Practice Address - Country:US
Practice Address - Phone:559-794-4517
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-17
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95000167363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0043790Medicaid
CAZZZ21572ZOtherGROUP MEDICARE PTAN
CAGR0043790Medicaid