Healthcare Provider Details
I. General information
NPI: 1114323904
Provider Name (Legal Business Name): DEANNA SHEETS ARNP, FNP-C, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/06/2014
Last Update Date: 05/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
911 MIL PARK AVE
TACOMA WA
98431
US
IV. Provider business mailing address
911 MIL PARK AVE
TACOMA WA
98431-0001
US
V. Phone/Fax
- Phone: 253-477-0800
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LW0102X |
| Taxonomy | Women's Health Nurse Practitioner |
| License Number | AP6078202 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | AP6078202 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: