=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477985422
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SHARON LYNN SPINA-PHILLIPS NP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/01/2013
-----------------------------------------------------
Last Update Date | 10/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8732 HIGHWAY 23 STE A
-----------------------------------------------------
City | BELLE CHASSE
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70037-2228
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 504-300-8003
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 33173
-----------------------------------------------------
City | SAN ANTONIO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78265-3173
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-890-8840
-----------------------------------------------------
Fax | 210-783-9089
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | AP07405
-----------------------------------------------------
License Number State | LA
-----------------------------------------------------