Provider Demographics
NPI:1598367260
Name:SHARPE, KAYLA C (PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:KAYLA
Middle Name:C
Last Name:SHARPE
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3252 SPRINGMEADOW CIR
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-7956
Mailing Address - Country:US
Mailing Address - Phone:919-356-7488
Mailing Address - Fax:
Practice Address - Street 1:3252 SPRINGMEADOW CIR
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109-7956
Practice Address - Country:US
Practice Address - Phone:919-356-7488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0996023-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty