Provider Demographics
NPI:1447241161
Name:MUNSEY, SHARON (ARNP)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:MUNSEY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 PONDELLA RD
Mailing Address - Street 2:
Mailing Address - City:NORTH FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33903-4411
Mailing Address - Country:US
Mailing Address - Phone:239-332-9501
Mailing Address - Fax:239-656-2514
Practice Address - Street 1:3920 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33916-2205
Practice Address - Country:US
Practice Address - Phone:239-332-9501
Practice Address - Fax:239-656-2514
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1639672363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL033313100Medicaid
FLY2985Medicare ID - Type Unspecified
FLS55602Medicare UPIN