Basic Information
| Provider Information | |||||||||
| NPI: | 1184171431 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SHARP | ||||||||
| FirstName: | HEATHER | ||||||||
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| Credential: | APRN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 424 CATHERINE ST | ||||||||
| Address2: | |||||||||
| City: | YOUNGSTOWN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 445051508 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3307591685 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1391 W 5TH AVE | ||||||||
| Address2: | STE 260 | ||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432122902 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8443263119 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/03/2016 | ||||||||
| LastUpdateDate: | 11/20/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | SP016435 | PA | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 363LF0000X | APRN.CNP.019619 | OH | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.