Provider Demographics
NPI:1790561116
Name:WEBB, SHAR (MSN, APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:SHAR
Middle Name:
Last Name:WEBB
Suffix:
Gender:
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12617 NARCOOSSEE RD STE 110B
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832-7148
Mailing Address - Country:US
Mailing Address - Phone:407-868-5942
Mailing Address - Fax:321-236-9134
Practice Address - Street 1:12617 NARCOOSSEE RD STE 110B
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32832-7148
Practice Address - Country:US
Practice Address - Phone:407-868-5942
Practice Address - Fax:321-236-9134
Is Sole Proprietor?:No
Enumeration Date:2023-09-01
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11028026363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health