Healthcare Provider Details
I. General information
NPI: 1548182546
Provider Name (Legal Business Name): SHARPLINE HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
67 CARRIAGE CREEK WAY
ORMOND BEACH FL
32174-6783
US
IV. Provider business mailing address
67 CARRIAGE CREEK WAY
ORMOND BEACH FL
32174-6783
US
V. Phone/Fax
- Phone: 386-405-0740
- Fax: 386-204-7390
- Phone: 386-405-0740
- Fax: 386-204-7390
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CANDICE
NICOLE
NORSESIAN
Title or Position: OWNER/MANAGING MEMBER
Credential: APRN
Phone: 386-405-0740