Provider Demographics
NPI:1265573257
Name:FIGENSHAW, SHARMON M (ARNP)
Entity type:Individual
Prefix:
First Name:SHARMON
Middle Name:M
Last Name:FIGENSHAW
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1340
Mailing Address - Street 2:
Mailing Address - City:OKANOGAN
Mailing Address - State:WA
Mailing Address - Zip Code:98840-1340
Mailing Address - Country:US
Mailing Address - Phone:509-686-0603
Mailing Address - Fax:509-422-7674
Practice Address - Street 1:1015 COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:WA
Practice Address - Zip Code:98813
Practice Address - Country:US
Practice Address - Phone:509-686-0603
Practice Address - Fax:855-204-8848
Is Sole Proprietor?:No
Enumeration Date:2007-02-11
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP300006907363LA2200X
WAAP30006907363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAP30006907OtherSTATE LICENSE
WA1265573257Medicaid