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Individual

LOTTIE I SHARP-YORK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
1601 E FOURTH PLAIN BLVD, VANCOUVER, WA 98661-3753
(360) 696-4061
Mailing address
10218 NE 108TH AVE, VANCOUVER, WA 98662-1541
(360) 254-2903

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
200450022NP ANP-PP
OR

Other

Enumeration date
08/09/2006
Last updated
07/08/2007
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