Provider Demographics
NPI:1225537574
Name:SHARP, MORGAN MARIE (FNP)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:MARIE
Last Name:SHARP
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:MARIE
Other - Last Name:HOLTHAUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1717 W. RIDGEWAY AVE
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50701
Mailing Address - Country:US
Mailing Address - Phone:817-375-5375
Mailing Address - Fax:817-299-1706
Practice Address - Street 1:1717 W. RIDGEWAY AVE.
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50701-4235
Practice Address - Country:US
Practice Address - Phone:319-233-0340
Practice Address - Fax:319-233-0666
Is Sole Proprietor?:No
Enumeration Date:2018-02-01
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA156217363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily