Provider Demographics
NPI:1457560575
Name:ARENDS, SHARLENE M (LMP)
Entity Type:Individual
Prefix:
First Name:SHARLENE
Middle Name:M
Last Name:ARENDS
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 WINDHAVEN LN
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-9153
Mailing Address - Country:US
Mailing Address - Phone:509-627-3026
Mailing Address - Fax:
Practice Address - Street 1:303 CASEY AVE
Practice Address - Street 2:SUITE D
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4368
Practice Address - Country:US
Practice Address - Phone:509-627-3026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA10225174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist