Individual
SHARON PENNY LYNNE ISHIHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMH NP-BC
Contact information
Practice address
2508 WHEATON WAY, BREMERTON, WA 98310-3303
(360) 377-3776
(360) 373-2093
Mailing address
PO BOX 960, BREMERTON, WA 98337-0212
(360) 475-3712
(360) 373-2096
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60697095
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z144803
MEDICARE PTAN
AZ
01
—
Z144804
MEDICARE PTAN
AZ
Enumeration date
03/24/2010
Last updated
03/17/2018
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