Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | AP30001859 | WA |
NPI | 1093812422 |
---|---|
Provider Name | Ms. Sharon Ponty Hill |
First Address | Seattle, WA 98122-2959 |
Second Address | Monroe, WA 98272-1510 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
9613076 | (05) | WA |