Provider Demographics
NPI:1629147970
Name:FEINBERG, SHARI L (CPNP)
Entity Type:Individual
Prefix:MRS
First Name:SHARI
Middle Name:L
Last Name:FEINBERG
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:501 6TH AVE S
Mailing Address - Street 2:7 SOUTH
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-4634
Mailing Address - Country:US
Mailing Address - Phone:727-767-4709
Mailing Address - Fax:727-767-8504
Practice Address - Street 1:601 5TH ST S
Practice Address - Street 2:STE 302
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4804
Practice Address - Country:US
Practice Address - Phone:727-767-4176
Practice Address - Fax:727-767-4379
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX703613363LP0200X
NJ26NO9713100363LP0200X
FLARNP9329147363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004388400Medicaid
TX8C7691Medicare ID - Type Unspecified
TX169359001Medicaid