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NPI Code Detail

MEDICARE: MINI SHARMA APRN, PMHNP-BC

MEDICARE: MINI SHARMA APRN, PMHNP-BC
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
1163WP0808XPsychiatric/Mental Health Registered NurseRN2269112MA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerCAPRN03829RI
3163WP0808XPsychiatric/Mental Health Registered NurseRN75752RI
4363LP0808XPsychiatric/Mental Health Nurse PractitionerRN2269112MA

General Provider Information

NPI Number : 1114597556
Entity Type Code : Individual
Provider Name (Legal Business Name) : MINI SHARMA APRN, PMHNP-BC
Provider Business Mailing Address
First Line : 2180 MENDON RD STE 21
Second Line :
City : CUMBERLAND
State : RI
Zip : 02864-3825
Country : US
Telephone Number : 774-454-3088
Fax Number : 774-418-4218
Provider Business Practice Location Address
First Line : 2180 MENDON RD STE 21
Second Line :
City : CUMBERLAND
State : RI
Zip : 02864-3825
Country : US
Telephone Number : 774-454-3088
Fax Number : 774-418-4218
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2021
Last Update Date : 10/30/2024

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