Provider Demographics
NPI:1972514321
Name:LOWE, SHARON (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:
Last Name:LOWE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 60074
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33906-6074
Mailing Address - Country:US
Mailing Address - Phone:850-423-9994
Mailing Address - Fax:850-423-9962
Practice Address - Street 1:63 BARKLEY CIR
Practice Address - Street 2:SUITE 104
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-4514
Practice Address - Country:US
Practice Address - Phone:850-423-9994
Practice Address - Fax:850-423-9962
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3129142367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG2555AMedicare ID - Type UnspecifiedMEDCIARE PROVIDER NUMBER