Provider Demographics
NPI:1932761020
Name:SHARMA, KELSEY THERESE (APRN, CNP)
Entity Type:Individual
Prefix:
First Name:KELSEY
Middle Name:THERESE
Last Name:SHARMA
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:KELSEY
Other - Middle Name:THERESE
Other - Last Name:LINDBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, CNP
Mailing Address - Street 1:920 E 28TH ST STE 700
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-1163
Mailing Address - Country:US
Mailing Address - Phone:952-567-7400
Mailing Address - Fax:952-852-2356
Practice Address - Street 1:920 E 28TH ST STE 700
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-1163
Practice Address - Country:US
Practice Address - Phone:952-567-7400
Practice Address - Fax:952-852-2356
Is Sole Proprietor?:No
Enumeration Date:2019-06-28
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6644363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner