Provider Demographics
NPI:1538189220
Name:SHARP, MARION EASTHAM (FNP)
Entity type:Individual
Prefix:MRS
First Name:MARION
Middle Name:EASTHAM
Last Name:SHARP
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 CATLETT LN
Mailing Address - Street 2:
Mailing Address - City:QUICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22847-1108
Mailing Address - Country:US
Mailing Address - Phone:540-722-3470
Mailing Address - Fax:540-722-3475
Practice Address - Street 1:10 BAKER ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-4890
Practice Address - Country:US
Practice Address - Phone:540-722-3470
Practice Address - Fax:540-722-3475
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2011-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024093462363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily