Individual
BRENDA KAY SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1350 13TH AVE S, JACKSONVILLE BEACH, FL 32250-3203
(407) 667-0444
(407) 667-4338
Mailing address
4800 BELFORT RD, JACKSONVILLE, FL 32256-6004
(904) 398-7205
(904) 265-6409
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9170783
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303278700
—
FL
01
—
G2683O
MEDICARE ID
FL
Enumeration date
01/11/2006
Last updated
04/05/2019
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