MEDICARE: LISA SHARF MSN, PSMHNP-CS ANP

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	163WP0808X	Psychiatric/Mental Health Registered Nurse	ARNP1190912	FL
2	363LA2200X	Adult Health Nurse Practitioner	ARNP1190912	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	:	1487614491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA SHARF MSN, PSMHNP-CS ANP

Provider Business Mailing Address
First Line	:	90 EDGEWATER DR
Second Line	:	#514
City	:	CORAL GABLES
State	:	FL
Zip	:	33133
Country	:	US
Telephone Number	:	786-356-9342
Fax Number	:	305-667-7839

Provider Business Practice Location Address
First Line	:	2000 S DIXIE HWY
Second Line	:	#104
City	:	COCONUT GROVE
State	:	FL
Zip	:	33133-2456
Country	:	US
Telephone Number	:	786-356-9342
Fax Number	:	305-667-7839

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

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	05/07/2014

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