Individual
SHANNON KRISTINE URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
16811 SE MCGILLIVRAY BLVD, VANCOUVER, WA 98683-3404
(360) 735-8100
Mailing address
5116 NASSAU CT NE, TACOMA, WA 98422-4528
(253) 223-8842
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60810810
WA
Other
Enumeration date
11/10/2017
Last updated
06/14/2023
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