Provider Demographics
NPI:1265528301
Name:SHARP, RACHAEL F
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:F
Last Name:SHARP
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:RACHAEL
Other - Middle Name:
Other - Last Name:FLOWERS-LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:108 PRETTY MARSH RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT DESERT
Mailing Address - State:ME
Mailing Address - Zip Code:04660-6112
Mailing Address - Country:US
Mailing Address - Phone:207-288-5081
Mailing Address - Fax:207-288-7024
Practice Address - Street 1:10 WAYMAN LN
Practice Address - Street 2:MOUNT DESERT ISLAND HOSPITAL
Practice Address - City:BAR HARBOR
Practice Address - State:ME
Practice Address - Zip Code:04609-1625
Practice Address - Country:US
Practice Address - Phone:207-288-5081
Practice Address - Fax:207-288-7024
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MER038265367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MER038265OtherLICENSE
MEMM580903Medicare PIN
MEMM5809Medicare PIN
MEMM580902Medicare PIN
MEMM580901Medicare PIN