Provider Demographics
NPI:1073911640
Name:SHARMA, ANVITA (RN)
Entity Type:Individual
Prefix:MRS
First Name:ANVITA
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 W ORANGEWOOD AVE STE 212
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-1980
Mailing Address - Country:US
Mailing Address - Phone:714-645-8045
Mailing Address - Fax:
Practice Address - Street 1:2200 W ORANGEWOOD AVE STE 212
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-1980
Practice Address - Country:US
Practice Address - Phone:714-645-8045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-15
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA745632163WP0808X, 163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No163WC0400XNursing Service ProvidersRegistered NurseCase Management