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NPI Code Detail

MEDICARE: MANISHA SHARMA

MEDICARE: MANISHA SHARMA
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
1363LP0200XPediatric Nurse Practitioner4704390219MI

General Provider Information

NPI Number : 1477410686
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANISHA SHARMA
Provider Business Mailing Address
First Line : 10745 BARRETT
Second Line :
City : PLYMOUTH
State : MI
Zip : 48170-4762
Country : US
Telephone Number : 336-609-0249
Fax Number :
Provider Business Practice Location Address
First Line : 3901 BEAUBIEN ST
Second Line :
City : DETROIT
State : MI
Zip : 48201-2119
Country : US
Telephone Number : 313-745-5870
Fax Number : 313-966-6121
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2026
Last Update Date : 03/17/2026

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Directions to “ MANISHA SHARMA ” Practice Location

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