Individual
SHANNON ELOISE BOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4209 TIETON DR, YAKIMA, WA 98908-3377
(509) 654-9810
(509) 966-8812
Mailing address
4209 TIETON DR, YAKIMA, WA 98908-3377
(509) 654-9810
(509) 966-8812
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60528267
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61369683
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP61369683
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
01
—
F10220605
AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD
—
01
—
RN60528267
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
02/20/2015
Last updated
11/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us