Healthcare Provider Details

I. General information

NPI: 1104908698
Provider Name (Legal Business Name): SHARON M. KRIEGER M.S., A.P.R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 08/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33920 US 19 N STE 170
PALM HARBOR FL
34684-2619
US

IV. Provider business mailing address

33920 US 19 N STE 170
PALM HARBOR FL
34684-2619
US

V. Phone/Fax

Practice location:
  • Phone: 727-781-1000
  • Fax: 727-330-7551
Mailing address:
  • Phone: 727-781-1000
  • Fax: 727-330-7551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number879732
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number879732
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number879732
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: