Provider Demographics
NPI:1073870028
Name:SHARP, ELIZABETH A (RN)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:A
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 1:6 RAWLSTON CT
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-6009
Mailing Address - Country:US
Mailing Address - Phone:480-215-1376
Mailing Address - Fax:
Practice Address - Street 1:6 RAWLSTON CT
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165-6009
Practice Address - Country:US
Practice Address - Phone:480-215-1376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-16
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001233098163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse