Cavanaugh Sharp, Angela
Cavanaugh Sharp, Angela is an individual health care provider with primary practice located at 1 Medical Center Blvd , Cookeville TN 38501-4294. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Cavanaugh Sharp, Angela can be contacted via phone (931) 783-2770.Contact Information
Primary practice address
1 Medical Center Blvd
Cookeville TN 38501-4294
Phone: (931) 783-2770
Fax: (931) 525-1176
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | 21906 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 21906 | Tennessee |
Profile Details
| NPI number | 1487104238 |
|---|---|
| LBN Legal business name | Cavanaugh Sharp, Angela |
| Credentials | AG-ACNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2016 |
| Last updated | Jan 4th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487104238 | NPPES |
| Kentucky | MEDICAID | 7100445980 | |
| Kentucky | MEDICAID | Q024691 | |
| Kentucky | Other | 6081577 |
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