Basic Information
| Provider Information | |||||||||
| NPI: | 1437146701 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOLLENKAMP | ||||||||
| FirstName: | SHARON | ||||||||
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| Credential: | CRNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2108 CALLE DE CODORNIZ | ||||||||
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| City: | CARLSBAD | ||||||||
| State: | NM | ||||||||
| PostalCode: | 882204188 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5058878910 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2430 W PIERCE ST | ||||||||
| Address2: | |||||||||
| City: | CARLSBAD | ||||||||
| State: | NM | ||||||||
| PostalCode: | 882203553 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5058874191 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/03/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | R48054 | NM | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.