Individual
SHARLA KAY PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6443 NE 181ST ST, KENMORE, WA 98028-4831
(425) 424-2100
(425) 424-2100
Mailing address
6443 NE 181ST ST, KENMORE, WA 98028-4831
(425) 424-2100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60016832
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9659376-7110687
—
WA
Enumeration date
04/24/2008
Last updated
12/17/2010
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