# MARCY A SHAPLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1578656047
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | PA10003789 | WA | — |
| 363A00000X | Physician Assistant | PA10003789 | WA | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 07/19/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 172515 | WORKMANS COMP | WA |
| 01 | — | 2252SH | REGENCE BLUE SHIELD 2ND | WA |
| 01 | — | 3642SH | REGENCE BLUE SHIELD | WA |
| 05 | — | 8363640 | — | WA |