Individual
BREANNE ELIDA SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10708 MAIN ST STE 200B, BELLEVUE, WA 98004-5552
(425) 940-4569
Mailing address
19922 NE 177TH ST, WOODINVILLE, WA 98077-5902
(509) 987-2224
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60890554
WA
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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