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Individual
SAVANNAH SHORES
Active
Individual
SAVANNAH SHORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
7207
WI
363L00000X
Nurse Practitioner
AP61535708
WA
363LA2200X
Adult Health Nurse Practitioner
Primary
AP61535708
WA
Other
Enumeration date
08/23/2016
Last updated
06/13/2024
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