Provider Demographics
NPI:1487835534
Name:WALKER, SHARON A (ARNP)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:A
Last Name:WALKER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:A
Other - Last Name:BRIDGES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:838 W DESOTO ST UNIT 8H
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-2110
Mailing Address - Country:US
Mailing Address - Phone:352-505-1788
Mailing Address - Fax:321-594-7656
Practice Address - Street 1:838 W DESOTO ST UNIT 8H
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-2110
Practice Address - Country:US
Practice Address - Phone:352-505-1788
Practice Address - Fax:321-594-7656
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-16
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3052562363L00000X
FLAPRN3052562363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL006600700Medicaid
FL006600700Medicaid
FLARNP3052562OtherMEDICAL LICENSE