Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QG0300X | Family Doctor - Geriatric Medicine | 814385 | NV |
Y | 363L00000X | Nurse Practitioner | AP60905789 | WA |
NPI | 1093299547 |
---|---|
Provider Name | Sharon P Brown |
First Address | Anacortes, WA 98221-2562 |
Second Address | Anacortes, WA 98221-2599 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2018 |
Last Update Date | 21/12/2020 |