Provider Demographics
NPI:1659357622
Name:SEAL, SHARLA ELLEN (CRNA)
Entity type:Individual
Prefix:
First Name:SHARLA
Middle Name:ELLEN
Last Name:SEAL
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:SHARLA
Other - Middle Name:E
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:6361 WISTERIA DR
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:FL
Mailing Address - Zip Code:32570-5452
Mailing Address - Country:US
Mailing Address - Phone:850-626-2944
Mailing Address - Fax:
Practice Address - Street 1:6002 BERRYHILL RD
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:FL
Practice Address - Zip Code:32570-5062
Practice Address - Country:US
Practice Address - Phone:850-995-0432
Practice Address - Fax:850-995-1118
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2145172367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00122545OtherMEDICARE RAILROAD
AL59169429OtherBLUE CROSS BLUE SHIELD
FL303803300Medicaid
FLG1268OtherBLUE CROSS BLUE SHIELD
AL59169429OtherBLUE CROSS BLUE SHIELD
FLG1268OtherBLUE CROSS BLUE SHIELD