Provider Demographics
NPI:1508665811
Name:SHARON DIAMOND APRN WOUND CARE LLC
Entity type:Organization
Organization Name:SHARON DIAMOND APRN WOUND CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:LISA
Authorized Official - Last Name:DIAMOND
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:813-787-7445
Mailing Address - Street 1:6637 9 IRON CT
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-3724
Mailing Address - Country:US
Mailing Address - Phone:813-787-7445
Mailing Address - Fax:
Practice Address - Street 1:6637 9 IRON CT
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-3724
Practice Address - Country:US
Practice Address - Phone:813-787-7445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty