Derstine, Sharon Mack

Derstine, Sharon Mack is an individual health care provider with primary practice located at 1106 E 1St St , Port Angeles WA 98362-4317. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Derstine, Sharon Mack can be contacted via phone (360) 452-2954.

Contact Information

Primary practice address
1106 E 1St St Port Angeles WA 98362-4317
Phone: (360) 452-2954
Fax: (360) 457-7683
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X AP30005738 Washington

Profile Details

NPI number 1104810480
LBN Legal business name Derstine, Sharon Mack
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Jul 11th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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