MEDICARE: SHARON LYNN HUGGINS N.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	NP212796	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	NP212796	OTHER	CA	STATE LICENSE ID #

General Provider Information

NPI Number	:	1538168091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON LYNN HUGGINS N.P.

Provider Business Mailing Address
First Line	:	3540 WILSHIRE BLVD
Second Line	:	SUITE 1038
City	:	LOS ANGELES
State	:	CA
Zip	:	90010-2307
Country	:	US
Telephone Number	:	213-389-7359
Fax Number	:	213-405-5074

Provider Business Practice Location Address
First Line	:	3540 WILSHIRE BLVD
Second Line	:	SUITE 1038
City	:	LOS ANGELES
State	:	CA
Zip	:	90010-2307
Country	:	US
Telephone Number	:	213-389-7359
Fax Number	:	213-405-5074

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	08/10/2009

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