MEDICARE: SHERRI LYNN ANGLIN ARNP

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	21426	WY
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	9329113	FL
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN9329113	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144551284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRI LYNN ANGLIN ARNP

Provider Business Mailing Address
First Line	:	2901 W SAINT ISABEL ST STE D
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6350
Country	:	US
Telephone Number	:	352-504-0340
Fax Number	:	352-431-3173

Provider Business Practice Location Address
First Line	:	2901 W SAINT ISABEL ST STE D
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6350
Country	:	US
Telephone Number	:	352-504-0340
Fax Number	:	352-431-3173

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2010
Last Update Date	:	09/21/2022

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