Provider Demographics
NPI:1124363668
Name:SHARP, HAWA M
Entity Type:Individual
Prefix:MS
First Name:HAWA
Middle Name:M
Last Name:SHARP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2003 SPAULDING AVE
Mailing Address - Street 2:
Mailing Address - City:SUITLAND
Mailing Address - State:MD
Mailing Address - Zip Code:20746-1051
Mailing Address - Country:US
Mailing Address - Phone:240-392-0816
Mailing Address - Fax:
Practice Address - Street 1:2003 SPAULDING AVE
Practice Address - Street 2:
Practice Address - City:SUITLAND
Practice Address - State:MD
Practice Address - Zip Code:20746-1051
Practice Address - Country:US
Practice Address - Phone:240-392-0816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-11
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide