Provider Demographics
NPI:1144748054
Name:SHARMA, MAMTA (FNP)
Entity Type:Individual
Prefix:MS
First Name:MAMTA
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2000 S MCCOLL RD STE B # 303
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1516
Mailing Address - Country:US
Mailing Address - Phone:956-215-6010
Mailing Address - Fax:956-265-1027
Practice Address - Street 1:110 E SAVANNAH AVE STE 202
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1241
Practice Address - Country:US
Practice Address - Phone:956-800-4525
Practice Address - Fax:956-618-3164
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP134948363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily