Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 07001139A | IN |
N | 222Z00000X | Podiatrist | 07001139A | IN |
Y | 213ES0103X | Foot & Ankle Surgery | 2230 | TX |
NPI | 1073740494 |
---|---|
Provider Name | Anne Mary Sharkey |
First Address | Cedar Park, TX 78613-7862 |
Second Address | Cedar Park, TX 78613-7861 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2009 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1073740494 | (05) | IN |