Provider Demographics
NPI:1942275516
Name:SHARMA, SANDRA BRADFORD (PHD, ARNP, BC)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:BRADFORD
Last Name:SHARMA
Suffix:
Gender:F
Credentials:PHD, ARNP, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10903 N 27TH ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-6225
Mailing Address - Country:US
Mailing Address - Phone:813-972-8751
Mailing Address - Fax:
Practice Address - Street 1:13000 BRUCE B DOWNS BLVD
Practice Address - Street 2:MAIL CODE 116A-4
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-4745
Practice Address - Country:US
Practice Address - Phone:813-631-7135
Practice Address - Fax:813-631-7128
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1002322363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health