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NPI Code Detail

MEDICARE: MRS. SHARON GAIL VANOVER WUERTH MSN ARNP

MEDICARE: MRS. SHARON GAIL VANOVER WUERTH MSN ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP30006319WA

General Provider Information

NPI Number : 1821072356
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHARON GAIL VANOVER WUERTH MSN ARNP
Provider Business Mailing Address
First Line : 511 W HERON ST
Second Line :
City : ABERDEEN
State : WA
Zip : 98520-6022
Country : US
Telephone Number : 564-544-1950
Fax Number : 564-544-1937
Provider Business Practice Location Address
First Line : 511 W HERON ST
Second Line :
City : ABERDEEN
State : WA
Zip : 98520-6022
Country : US
Telephone Number : 564-544-1950
Fax Number : 564-544-1937
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2005
Last Update Date : 08/27/2025

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