Provider Demographics
NPI:1144551284
Name:ANGLIN, SHERRI LYNN (ARNP)
Entity type:Individual
Prefix:
First Name:SHERRI
Middle Name:LYNN
Last Name:ANGLIN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 W SAINT ISABEL ST STE D
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6350
Mailing Address - Country:US
Mailing Address - Phone:352-504-0340
Mailing Address - Fax:352-431-3173
Practice Address - Street 1:2901 W SAINT ISABEL ST STE D
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6350
Practice Address - Country:US
Practice Address - Phone:352-504-0340
Practice Address - Fax:352-431-3173
Is Sole Proprietor?:No
Enumeration Date:2010-01-28
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY21426363LP0808X
FL9329113363LP0808X
FLAPRN9329113363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL114212958Medicaid
FL114212958Medicaid