MEDICARE: PRASANNA SHARMA MSN, 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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1112509	TX

General Provider Information

NPI Number	:	1306546254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRASANNA SHARMA MSN, APRN, PMHNP-BC

Provider Business Mailing Address
First Line	:	8140 N MOPAC EXPY STE 150
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-8837
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	551 S INTERSTATE 35 STE 303
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78664-2820
Country	:	US
Telephone Number	:	512-758-6354
Fax Number	:	949-703-8408

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

Provider Enumeration Date	:	03/08/2023
Last Update Date	:	03/03/2025

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