NPI 1124654835

Krista Renea Gearhart

Practitioner Child Intellectual and/or Developmental Disabilities Respite Care Shelton, WA

Practice location

Address: 520 E Meyer Lake Dr, Shelton, WA 98584-7412
Phone: (360) 490-9993
Mailing address: 2480 E McEwan Prairie Rd, Shelton, WA 98584-9678

Registered specialties

Child Intellectual and/or Developmental Disabilities Respite Care Primary

Respite Care Facility Taxonomy 385HR2060X

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Registry record

NPI: 1124654835
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Mar 2020
Record last updated: 14 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.