Provider Demographics
NPI:1235295718
Name:SHARP, CARLA (APRN)
Entity Type:Individual
Prefix:
First Name:CARLA
Middle Name:
Last Name:SHARP
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 ULUNIU ST
Mailing Address - Street 2:#207
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2523
Mailing Address - Country:US
Mailing Address - Phone:808-261-0066
Mailing Address - Fax:808-261-0066
Practice Address - Street 1:315 ULUNIU ST
Practice Address - Street 2:#207
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2523
Practice Address - Country:US
Practice Address - Phone:808-261-0066
Practice Address - Fax:808-261-0066
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN 23101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health