Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 209.007268 | IL |
NPI | 1003066499 |
---|---|
Provider Name | Kara Kaye Sharpf |
First Address | Danville, IL 61832-4360 |
Second Address | Danville, IL 61832-4360 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2008 |
Last Update Date | 29/06/2016 |