Healthcare Provider Details

I. General information

NPI: 1508157538
Provider Name (Legal Business Name): SHARON VELEZ RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHARON TUCKER RN

II. Dates (important events)

Enumeration Date: 04/25/2011
Last Update Date: 09/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

516 NORIDGE DR
LEHIGH ACRES FL
33936-7504
US

IV. Provider business mailing address

516 NORIDGE DR
LEHIGH ACRES FL
33936-7504
US

V. Phone/Fax

Practice location:
  • Phone: 918-408-7292
  • Fax:
Mailing address:
  • Phone: 918-408-7292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number9366
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: