Provider Demographics
NPI:1467726133
Name:KIRBY, SHARON ANNETTE (ACNP-BC)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:ANNETTE
Last Name:KIRBY
Suffix:
Gender:F
Credentials:ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 E GUNN RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48306-1905
Mailing Address - Country:US
Mailing Address - Phone:303-957-8973
Mailing Address - Fax:
Practice Address - Street 1:840 E GUNN RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48306-1905
Practice Address - Country:US
Practice Address - Phone:303-957-8973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-28
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704266302163W00000X, 363LA2100X
CO0205029163W00000X
COAPN.0990420-NP363L00000X
CO0990420-NP363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner