Provider Demographics
NPI:1235683418
Name:LI, SHARON (FNP-BC)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:LI
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12350 WESTHEIMER RD STE G
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-6068
Mailing Address - Country:US
Mailing Address - Phone:281-496-1199
Mailing Address - Fax:281-496-1441
Practice Address - Street 1:12350 WESTHEIMER RD STE G
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-6068
Practice Address - Country:US
Practice Address - Phone:281-496-1199
Practice Address - Fax:281-496-1441
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-05
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131252363LF0000X, 363LP2300X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care