Provider Demographics
NPI:1790561116
Name:WEBB, SHAR (MSN, APRN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:SHAR
Middle Name:
Last Name:WEBB
Suffix:
Gender:F
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1030 SPRING VILLAS PT STE 3000
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-5242
Mailing Address - Country:US
Mailing Address - Phone:833-995-6887
Mailing Address - Fax:
Practice Address - Street 1:1030 SPRING VILLAS PT STE 3000
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-5242
Practice Address - Country:US
Practice Address - Phone:833-995-6887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-01
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11028026363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health