Provider Demographics
NPI:1093736712
Name:GILPIN, SHARON ANN (CRNA)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:ANN
Last Name:GILPIN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 AGUILA DR
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-8032
Mailing Address - Country:US
Mailing Address - Phone:757-547-8208
Mailing Address - Fax:
Practice Address - Street 1:736 BATTLEFIELD BLVD N
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-4941
Practice Address - Country:US
Practice Address - Phone:757-547-8128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024142515367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010314569Medicaid
VA010314232Medicaid
VA010314593Medicaid
VA010314461Medicaid
VA010314534Medicaid
VA010314569Medicaid
VA010314232Medicaid
012142C37Medicare PIN
VA010314461Medicaid