MEDICARE: SHARIFA K ANTHONY PMHNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	L8-0010900	DE

General Provider Information

NPI Number	:	1982585345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARIFA K ANTHONY PMHNP

Provider Business Mailing Address
First Line	:	52 CRABAPPLE DR
Second Line	:
City	:	SMYRNA
State	:	DE
Zip	:	19977-5309
Country	:	US
Telephone Number	:	302-670-4720
Fax Number	:

Provider Business Practice Location Address
First Line	:	52 CRABAPPLE DR
Second Line	:
City	:	SMYRNA
State	:	DE
Zip	:	19977-5309
Country	:	US
Telephone Number	:	302-670-4720
Fax Number	:

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

Provider Enumeration Date	:	09/10/2025
Last Update Date	:	09/10/2025

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