Wallace, Sharon D

Wallace, Sharon D is an individual health care provider with primary practice located at 5455 Almira Dr Ne , Bremerton WA 98311-8330. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Wallace, Sharon D can be contacted via phone (360) 415-5870.

Contact Information

Primary practice address
5455 Almira Dr Ne Bremerton WA 98311-8330
Phone: (360) 415-5870
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP61462632 Washington

Profile Details

NPI number 1205478591
LBN Legal business name Wallace, Sharon D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2019
Last updated Dec 31st, 2023 - about last year

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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