Provider Demographics
NPI:1033827746
Name:SHARPE, GUSTEEN B
Entity Type:Individual
Prefix:MS
First Name:GUSTEEN
Middle Name:B
Last Name:SHARPE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:GUSTEEN
Other - Middle Name:B
Other - Last Name:SHARPE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:25 W WINSPEAR AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14214-1114
Mailing Address - Country:US
Mailing Address - Phone:716-533-7559
Mailing Address - Fax:
Practice Address - Street 1:25 W WINSPEAR AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14214-1114
Practice Address - Country:US
Practice Address - Phone:716-533-7559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-10
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula