Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LG0600X | Nurse Practitioner - Gerontology | AP60378763 | WA |
NPI | 1053427047 |
---|---|
Provider Name | Dr. Sharon Ann Stephen |
First Address | Seattle, WA 98124-1876 |
Second Address | Renton, WA 98055-5714 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2006 |
Last Update Date | 03/07/2013 |