Provider Demographics
NPI:1841863305
Name:SHARAF, STEPHANIE A I (NURSE)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:A I
Last Name:SHARAF
Suffix:
Gender:F
Credentials:NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 S 89TH AVE
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-9351
Mailing Address - Country:US
Mailing Address - Phone:215-939-2349
Mailing Address - Fax:
Practice Address - Street 1:1009 S 89TH AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908-9351
Practice Address - Country:US
Practice Address - Phone:215-939-2349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-22
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter