Individual
SHARON E GOTTARDI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30001012
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8553703
—
WA
Enumeration date
09/29/2005
Last updated
07/08/2007
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