Individual provider · Type 1 NPI
Sharon Mack Derstine, ARNP
Women's Health Nurse Practitioner · Port Angeles, WA
NPI number
1104810480
Active
Practice location
1106 E 1st St
Port Angeles, WA 98362-4317
Fax (360) 457-7683
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner Primary | 363LW0102X | AP30005738 (WA) |
Women's Health Nurse Practitioner: Definition to come...
3 other providers at this address
Other women's health nurse practitioner providers in Port Angeles
About NPI 1104810480
Sharon Mack Derstine, ARNP's National Provider Identifier is 1104810480, issued on Sep 1, 2005. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Port Angeles, WA. The record was last updated on Jul 11, 2008.