Provider Demographics
NPI:1417725730
Name:DONALD, SHARHONDA (DNP, PMHNP, MSN)
Entity Type:Individual
Prefix:DR
First Name:SHARHONDA
Middle Name:
Last Name:DONALD
Suffix:
Gender:F
Credentials:DNP, PMHNP, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1590 ROSECRANS AVE STE D-951
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-3727
Mailing Address - Country:US
Mailing Address - Phone:323-542-4422
Mailing Address - Fax:
Practice Address - Street 1:1590 ROSECRANS AVE STE D-951
Practice Address - Street 2:
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266-3727
Practice Address - Country:US
Practice Address - Phone:323-542-4422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-15
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95028332363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health