Healthcare Provider Details

I. General information

NPI: 1487614491
Provider Name (Legal Business Name): LISA SHARF MSN, PSMHNP-CS ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 05/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 S DIXIE HWY #104
COCONUT GROVE FL
33133-2456
US

IV. Provider business mailing address

90 EDGEWATER DR #514
CORAL GABLES FL
33133
US

V. Phone/Fax

Practice location:
  • Phone: 786-356-9342
  • Fax: 305-667-7839
Mailing address:
  • Phone: 786-356-9342
  • Fax: 305-667-7839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberARNP1190912
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberARNP1190912
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: