Healthcare Provider Details

I. General information

NPI: 1649232836
Provider Name (Legal Business Name): NANCY PAINE SHERMAN L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2006
Last Update Date: 03/04/2025
Certification Date: 03/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1060 DELTA CT
FIRCREST WA
98466-5928
US

IV. Provider business mailing address

1060 DELTA CT
FIRCREST WA
98466-5928
US

V. Phone/Fax

Practice location:
  • Phone: 206-251-9152
  • Fax:
Mailing address:
  • Phone: 206-251-9152
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC00000807
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: