Doctor Name: | SHARON CROOK |
NPI Number: | 1265631410 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | AP30005911 |
Business Practice Address: | 3066 Issaquah Pine Lake Rd Se Sammamish, WA - 980757253 |
Business Phone Number: | 4253916588 |
Business Fax Number: | 4253918361 |
Mailing Address: | 14880 Ne 24th St, REDMOND |
State: | WA |
Postal Code: | 980525533 |
Phone Number: | 5129137537 |
Fax Number: | 5123584861 |
NPI Enumeration Date: | 07/17/2007 |
NPI Last Update Date: | 03/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SF0001X |
License Number: | AP30005911 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Family Health |
Taxonomy Definition: |