Individual
SHANNON MARIE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1412 CLARENCE AVE, WALLA WALLA, WA 99362-7246
(503) 927-8521
Mailing address
55 W TIETAN ST, WALLA WALLA, WA 99362-4445
(509) 525-3720
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200642784RN
OR
363L00000X
Nurse Practitioner
Primary
AP60730481
WA
Other
Enumeration date
01/26/2015
Last updated
06/06/2023
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