Provider Demographics
NPI:1326240318
Name:HUNT-WITTE, SHEILA (NP)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:HUNT-WITTE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:198 25TH ST
Mailing Address - Street 2:
Mailing Address - City:PORT TOWNSEND
Mailing Address - State:WA
Mailing Address - Zip Code:98368-6219
Mailing Address - Country:US
Mailing Address - Phone:360-379-1389
Mailing Address - Fax:360-379-1936
Practice Address - Street 1:198 25TH ST
Practice Address - Street 2:
Practice Address - City:PORT TOWNSEND
Practice Address - State:WA
Practice Address - Zip Code:98368-6219
Practice Address - Country:US
Practice Address - Phone:360-379-1389
Practice Address - Fax:360-379-1936
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30001592363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAR76257Medicare UPIN
WA115001009Medicare ID - Type UnspecifiedNURSE PRACTITIONER