Healthcare Provider Details

I. General information

NPI: 1659604486
Provider Name (Legal Business Name): SHARON MARIE HIGHLEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2009
Last Update Date: 09/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7847 OREGOLD DR
NEW PORT RICHEY FL
34654-6363
US

IV. Provider business mailing address

7847 OREGOLD DR
NEW PORT RICHEY FL
34654-6363
US

V. Phone/Fax

Practice location:
  • Phone: 727-457-0101
  • Fax: 727-856-5014
Mailing address:
  • Phone: 727-457-0101
  • Fax: 727-856-5014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN9202602
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: