Provider Demographics
NPI:1376942045
Name:SHARP, CAROLINE
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
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 1:105 CHEYENNE DR
Mailing Address - Street 2:APT. L
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-6508
Mailing Address - Country:US
Mailing Address - Phone:704-701-9689
Mailing Address - Fax:
Practice Address - Street 1:105 CHEYENNE DR
Practice Address - Street 2:APT. L
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-6508
Practice Address - Country:US
Practice Address - Phone:704-701-9689
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer