Provider Demographics
NPI:1750724993
Name:BLUE, SHARON DENISE (ARNP-C)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:DENISE
Last Name:BLUE
Suffix:
Gender:F
Credentials:ARNP-C
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Other - First Name:
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Mailing Address - Street 1:5101 E BUSCH BLVD
Mailing Address - Street 2:SUITE 11
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33617-5380
Mailing Address - Country:US
Mailing Address - Phone:813-899-9797
Mailing Address - Fax:813-433-5553
Practice Address - Street 1:5101 E BUSCH BLVD
Practice Address - Street 2:SUITE 11
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33617-5380
Practice Address - Country:US
Practice Address - Phone:813-899-9797
Practice Address - Fax:813-433-5553
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-08
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP9242495363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL008854200Medicaid