Provider Demographics
NPI:1356154710
Name:SHARP, NAOMI ANNA (MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:NAOMI
Middle Name:ANNA
Last Name:SHARP
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 N 200 W
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:UT
Mailing Address - Zip Code:84701-1808
Mailing Address - Country:US
Mailing Address - Phone:801-989-8246
Mailing Address - Fax:
Practice Address - Street 1:425 N 200 W
Practice Address - Street 2:
Practice Address - City:RICHFIELD
Practice Address - State:UT
Practice Address - Zip Code:84701-1808
Practice Address - Country:US
Practice Address - Phone:801-989-8246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-29
Last Update Date:2025-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9642858-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily