Provider Demographics
NPI:1962546481
Name:TIMMERMAN, SHARON ANN (ARNP-C)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:ANN
Last Name:TIMMERMAN
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91550 OVERSEAS HWY
Mailing Address - Street 2:SUITE 215
Mailing Address - City:TAVERNIER
Mailing Address - State:FL
Mailing Address - Zip Code:33070-2506
Mailing Address - Country:US
Mailing Address - Phone:305-853-9236
Mailing Address - Fax:305-853-9238
Practice Address - Street 1:91550 OVERSEAS HWY
Practice Address - Street 2:SUITE 215
Practice Address - City:TAVERNIER
Practice Address - State:FL
Practice Address - Zip Code:33070-2506
Practice Address - Country:US
Practice Address - Phone:305-853-9236
Practice Address - Fax:305-853-9238
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3261762363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLID656ZMedicare PIN