Provider Demographics
NPI:1417481268
Name:CARTER-SHARP, MINNIE
Entity Type:Individual
Prefix:
First Name:MINNIE
Middle Name:
Last Name:CARTER-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 1:101 KUURARALRIA STREET
Mailing Address - Street 2:
Mailing Address - City:QUINHAGAK
Mailing Address - State:AK
Mailing Address - Zip Code:99655
Mailing Address - Country:US
Mailing Address - Phone:907-556-8320
Mailing Address - Fax:907-556-8340
Practice Address - Street 1:101 KUURARALRIA STREET
Practice Address - Street 2:
Practice Address - City:QUINHAGAK
Practice Address - State:AK
Practice Address - Zip Code:99655
Practice Address - Country:US
Practice Address - Phone:907-556-8320
Practice Address - Fax:907-556-8340
Is Sole Proprietor?:No
Enumeration Date:2017-04-19
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker