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NPI Code Detail

MEDICARE: MRS. SHARON RENEE SHIRAZI ARNP

MEDICARE: MRS. SHARON RENEE SHIRAZI 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
1363LF0000XFamily Nurse Practitioner0061818OK

General Provider Information

NPI Number : 1518178722
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHARON RENEE SHIRAZI ARNP
Provider Business Mailing Address
First Line : 2604 SHADY TREE LN
Second Line :
City : EDMOND
State : OK
Zip : 73013-5645
Country : US
Telephone Number : 405-478-1228
Fax Number :
Provider Business Practice Location Address
First Line : 500 SW 44TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73109-3540
Country : US
Telephone Number : 405-235-6466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2007
Last Update Date : 03/03/2009

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