Healthcare Provider Details

I. General information

NPI: 1659357622
Provider Name (Legal Business Name): SHARLA ELLEN SEAL CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHARLA E MURPHY CRNA

II. Dates (important events)

Enumeration Date: 12/21/2005
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6002 BERRYHILL RD
MILTON FL
32570-5062
US

IV. Provider business mailing address

6361 WISTERIA DR
MILTON FL
32570-5452
US

V. Phone/Fax

Practice location:
  • Phone: 850-995-0432
  • Fax: 850-995-1118
Mailing address:
  • Phone: 850-626-2944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP2145172
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: