Provider Demographics
NPI:1518205392
Name:WAREING, SHARON ANN (PMHNP)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:ANN
Last Name:WAREING
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:ANN
Other - Last Name:LIZOTTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:949 WREN CIR
Mailing Address - Street 2:
Mailing Address - City:BAREFOOT BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32976-7508
Mailing Address - Country:US
Mailing Address - Phone:603-491-4017
Mailing Address - Fax:603-224-8530
Practice Address - Street 1:949 WREN CIR
Practice Address - Street 2:
Practice Address - City:BAREFOOT BAY
Practice Address - State:FL
Practice Address - Zip Code:32976-7508
Practice Address - Country:US
Practice Address - Phone:603-491-4017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-29
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11008951363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health