Provider Demographics
NPI:1639876162
Name:SHARON CLIFNER PMHNP PLLC
Entity Type:Organization
Organization Name:SHARON CLIFNER PMHNP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE-MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:CLIFNER
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:509-885-7258
Mailing Address - Street 1:21528 87TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-5035
Mailing Address - Country:US
Mailing Address - Phone:360-433-0779
Mailing Address - Fax:
Practice Address - Street 1:21528 87TH AVE NE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-5035
Practice Address - Country:US
Practice Address - Phone:360-433-0779
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty