Most Relevant Information
Provider Data
NPI Number: | 1003517095 |
Provider Name: | SHARA ALICIA HAYE NICARAGUA |
Entity Type: | Individual |
Taxonomy Code: | 363LF0000X |
Specialty: | Nurse Practitioner |
License Number: | APRN11025282 |
Most Important Dates
Enumeration Date: | 03/15/2023 |
Last Updated: | 03/15/2023 |
Provider Practice Location
5000 W OAKLAND PARK BLVD
LAUDERDALE LAKES
FL
333131503
Practice Location Phone/Fax
Phone: | 9547356000 |
Fax: |
Provider Mailing Location
330 NE 43RD CT
OAKLAND PARK
FL
333341436
Provider Mailing Phone/Fax
Phone: | 7542348040 |
Fax: |