Healthcare Provider Details

I. General information

NPI: 1710732847
Provider Name (Legal Business Name): ANU SHARMA PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2024
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10400 LITTLE PATUXENT PKWY STE 305
COLUMBIA MD
21044-3518
US

IV. Provider business mailing address

10400 LITTLE PATUXENT PKWY STE 305
COLUMBIA MD
21044-3518
US

V. Phone/Fax

Practice location:
  • Phone: 410-210-4098
  • Fax: 240-614-2133
Mailing address:
  • Phone: 410-210-4098
  • Fax: 240-614-2133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR276426
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2303638
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: