Individual
SHAWNA OLSON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
10024 SE 240TH ST STE 201, KENT, WA 98031-5124
(253) 859-2273
(253) 850-8894
Mailing address
10024 SE 240TH ST STE 201, KENT, WA 98031-5124
(253) 859-2273
(253) 850-8894
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00157415
WA
363L00000X
Nurse Practitioner
Primary
AP30006893
WA
363LF0000X
Family Nurse Practitioner
AP30006893
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9643818
—
WA
01
—
P00281594
RR MEDICARE
WA
Enumeration date
09/26/2005
Last updated
03/26/2025
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