Provider Demographics
NPI:1134547896
Name:CLIFNER, SHARON K (PMHNP)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:K
Last Name:CLIFNER
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 S OLYMPIC AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-1569
Mailing Address - Country:US
Mailing Address - Phone:509-885-7258
Mailing Address - Fax:866-667-1530
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:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-31
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP 60453137363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health