SHARON D WALLACE NPI 1205478591

NPI Information

NPI: 1205478591
Provider Name: SHARON D WALLACE
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
5455 ALMIRA DR NE
BREMERTON, WA
ZIP 98311
Phone: (360) 415-5870
Get Directions

Sharon D Wallace is a psychiatric/mental health nurse practitioner in Bremerton, WA. Sharon D Wallace NPI is 1205478591. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5455 ALMIRA DR NE
BREMERTON, WA
ZIP 98311-330
Phone: (360) 415-5870

The enumeration date for this NPI number is 10/8/2019 and was last updated on 12/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP61462632	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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