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NPI Code Detail

MEDICARE: SHARON SY PMHNP-BC

MEDICARE: SHARON SY 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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAP7317AZ

General Provider Information

NPI Number : 1679975379
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON SY PMHNP-BC
Provider Business Mailing Address
First Line : 3001 N 33RD AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85017-5202
Country : US
Telephone Number : 602-353-0703
Fax Number :
Provider Business Practice Location Address
First Line : 3001 N 33RD AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85017-5202
Country : US
Telephone Number : 602-353-0703
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2014
Last Update Date : 03/25/2020

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Directions to “ SHARON SY PMHNP-BC” Practice Location

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