Individual provider · Type 1 NPI

Sharon G. Lake, APRN, NP-C

Family Nurse Practitioner · South Charleston, WV

NPI number 1487033007 Active

Practice location

4607 Maccorkle Ave SW, Suite 300
South Charleston, WV 25309-1364

Call (304) 766-3688 Map

Fax (304) 766-3484

Mailing address

204 Stone Pl
Scott Depot, WV 25560-9465

Other practice locations

  • 4610 Kanawha Ave SW Ste 200, South Charleston, WV 25309-1367 · (304) 205-7992

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X64723 (WV)
Primary Care Nurse Practitioner 363LP2300XAPRN64723 (WV)

Family Nurse Practitioner: Definition to come...

24 other providers at this address

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About NPI 1487033007

Sharon G. Lake, APRN, NP-C's National Provider Identifier is 1487033007, issued on May 28, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in South Charleston, WV. The record was last updated on Apr 14, 2026.