MEDICARE: SUNSHINE FAISON 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	363LF0000X	Family Nurse Practitioner	ARNP9337587	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	:	1598278459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUNSHINE FAISON ARNP

Provider Business Mailing Address
First Line	:	7043 SPOTTED DEER PL
Second Line	:
City	:	RIVERVIEW
State	:	FL
Zip	:	33578-8977
Country	:	US
Telephone Number	:	813-838-2851
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 ORIENT RD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-3325
Country	:	US
Telephone Number	:	138-247-8856
Fax Number	:

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

Provider Enumeration Date	:	11/14/2017
Last Update Date	:	09/29/2021

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