Provider Demographics
NPI:1619599396
Name:SHARP, CHELSEA TAYLOR (DO)
Entity type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:TAYLOR
Last Name:SHARP
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9970 W CHEYENNE AVE # 100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-7700
Mailing Address - Country:US
Mailing Address - Phone:702-978-8900
Mailing Address - Fax:702-978-7617
Practice Address - Street 1:9970 W CHEYENNE AVE # 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-7700
Practice Address - Country:US
Practice Address - Phone:702-978-8900
Practice Address - Fax:702-978-7617
Is Sole Proprietor?:No
Enumeration Date:2020-05-15
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5151014300207V00000X
NVDO3768207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology