Individual
SHARON MACK DERSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1106 E 1ST ST, PORT ANGELES, WA 98362-4317
(360) 452-2954
(360) 457-7683
Mailing address
1106 E 1ST ST, PORT ANGELES, WA 98362-4317
(360) 452-2954
(360) 457-7683
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP30005738
WA
Other
Enumeration date
09/01/2005
Last updated
07/11/2008
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