Provider Demographics
NPI:1598321408
Name:SHARP, ELLA MARCEILLE (RN, BSN)
Entity Type:Individual
Prefix:
First Name:ELLA
Middle Name:MARCEILLE
Last Name:SHARP
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91-1977 LUAHOANA ST
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-5910
Mailing Address - Country:US
Mailing Address - Phone:808-551-6395
Mailing Address - Fax:
Practice Address - Street 1:91-980 NORTH RD
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-2746
Practice Address - Country:US
Practice Address - Phone:808-305-3794
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-15
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRN-56745163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse