Provider Demographics
NPI:1801647524
Name:SCHARFENBERG, DANA R (FNP-BC)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:R
Last Name:SCHARFENBERG
Suffix:
Gender:
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2619 201ST PL SE
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98012-3320
Mailing Address - Country:US
Mailing Address - Phone:425-398-1415
Mailing Address - Fax:
Practice Address - Street 1:15111 MAIN ST
Practice Address - Street 2:
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-9034
Practice Address - Country:US
Practice Address - Phone:425-236-2423
Practice Address - Fax:425-398-1415
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-29
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61539359363LF0000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care