Provider Demographics
NPI:1669178331
Name:VEKARIYA, SHARDA M (APRN)
Entity type:Individual
Prefix:
First Name:SHARDA
Middle Name:M
Last Name:VEKARIYA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1231 CARRIAGE PARK DR
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33594-4651
Mailing Address - Country:US
Mailing Address - Phone:813-362-8381
Mailing Address - Fax:
Practice Address - Street 1:1231 CARRIAGE PARK DR
Practice Address - Street 2:
Practice Address - City:VALRICO
Practice Address - State:FL
Practice Address - Zip Code:33594-4651
Practice Address - Country:US
Practice Address - Phone:813-362-8381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11024162163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health