Individual
MRS. SHANNON M MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
176 1ST AVE N, PO BOX N, ILWACO, WA 98624-9137
(360) 642-3747
(360) 642-3361
Mailing address
PO BOX 877, ILWACO, WA 98624-0877
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
AP60562578
WA
Other
Enumeration date
05/22/2014
Last updated
04/17/2017
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