Provider Demographics
NPI:1528646056
Name:SHARPE PSYCHIATRIC SERVICES
Entity type:Organization
Organization Name:SHARPE PSYCHIATRIC SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:RODNEY
Authorized Official - Last Name:SHARPE
Authorized Official - Suffix:II
Authorized Official - Credentials:APRN, PMHNP-BC
Authorized Official - Phone:480-910-4160
Mailing Address - Street 1:PO BOX 72615
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-1027
Mailing Address - Country:US
Mailing Address - Phone:425-829-8101
Mailing Address - Fax:
Practice Address - Street 1:2527 E PARKSIDE LN
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85024-7575
Practice Address - Country:US
Practice Address - Phone:425-829-8101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-29
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Multi-Specialty