Provider Demographics
NPI:1790885184
Name:SHARP, DAYLE B (NP)
Entity Type:Individual
Prefix:
First Name:DAYLE
Middle Name:B
Last Name:SHARP
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:10965 BEN CRENSHAW DR
Mailing Address - Street 2:BLDG. 1
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79935-3046
Mailing Address - Country:US
Mailing Address - Phone:915-594-4000
Mailing Address - Fax:915-594-9988
Practice Address - Street 1:426 CALEF HWY
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:NH
Practice Address - Zip Code:03825-7235
Practice Address - Country:US
Practice Address - Phone:603-664-0955
Practice Address - Fax:603-664-7205
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2020-07-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX674506363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP22379Medicare UPIN