# SHANNON EAGLE

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

## Provider details

- **NPI number:** 1740312057
- **Gender:** F
- **Credential:** LMP, RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC1500X | Community Health Registered Nurse | RN60170208 | WA | — |
| 225700000X | Massage Therapist | MA00022115 | WA | — |
| 363L00000X | Nurse Practitioner | AP60652210 | WA | — |
| 367A00000X | Advanced Practice Midwife | AP60652210 | WA | Yes |

## Other

- **Enumeration date:** 03/12/2007
- **Last updated:** 04/26/2021