NPI | 1144634080 |
---|---|
Professional Name | MISTY CODY SHARPE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP07796) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA RN102441) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA PA210074) | |
Enumeration Date | 2014-06-18 |
Last Update Date | 2023-12-01 |