Provider Demographics
NPI:1801308598
Name:SOMERS-HILL, SHARON MAY (RN)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:MAY
Last Name:SOMERS-HILL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:MAY
Other - Last Name:FOUNTAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1333 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:WA
Mailing Address - Zip Code:98230-5024
Mailing Address - Country:US
Mailing Address - Phone:949-553-8553
Mailing Address - Fax:
Practice Address - Street 1:1333 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:WA
Practice Address - Zip Code:98230-5024
Practice Address - Country:US
Practice Address - Phone:949-553-8553
Practice Address - Fax:949-553-8553
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-02
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60448958163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA60448958OtherWASHINGTON STATE DEPT OF HEALTH