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NPI Code Detail

MEDICARE: SHARON LEE PMHNP, FNP

MEDICARE: SHARON LEE PMHNP, FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerNP95010325CA
2363LP0808XPsychiatric/Mental Health Nurse Practitioner95010325CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NP95010325OTHERCABOARD OF REGISTERED NURSING

General Provider Information

NPI Number : 1073073649
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON LEE PMHNP, FNP
Provider Business Mailing Address
First Line : 1100 W OAK AVE
Second Line :
City : FULLERTON
State : CA
Zip : 92833-4128
Country : US
Telephone Number : 909-682-5235
Fax Number :
Provider Business Practice Location Address
First Line : 1711 W KATELLA AVE
Second Line :
City : ANAHEIM
State : CA
Zip : 92804-6450
Country : US
Telephone Number : 714-400-2959
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2019
Last Update Date : 02/17/2026

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