MRS. SHARON ROSE WALLACE-WILSON NPI 1699323287

NPI Information

  • NPI: 1699323287
  • Provider Name: MRS. SHARON ROSE WALLACE-WILSON
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8800 ANDORA DR
    MIRAMAR, FL
    ZIP 33025
  • Phone: (305) 335-2603

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NPI Details

MRS. Sharon Rose Wallace-wilson is a family nurse practitioner in Miramar, FL. MRS. Sharon Rose Wallace-wilson NPI is 1699323287. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8800 ANDORA DR
MIRAMAR, FL
ZIP 33025-559
Phone: (305) 335-2603

The NPI 1699323287 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/28/2019 and was last updated on 3/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse9175068FLORIDANo
2363LF0000XNurse PractitionerFamily11003939FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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