Individual
MELISSA LAVON SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2202 S CEDAR ST STE 330, TACOMA, WA 98405-2318
(253) 272-5127
(253) 272-0811
Mailing address
2202 S CEDAR ST STE 330, TACOMA, WA 98405-2318
(253) 272-5127
(253) 272-0811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA19038
CA
363A00000X
Physician Assistant
Primary
PA60120054
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8902483
MEDICARE PTAN (PIERCE)
WA
01
—
G8902484
MEDICARE PTAN (KING)
WA
Enumeration date
04/25/2007
Last updated
06/21/2019
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