Individual
MRS. SHAWN MARIE MADZIWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP-C, RN
Contact information
Practice address
4111 194TH ST SW, LYNNWOOD, WA 98036-4604
(425) 835-5200
Mailing address
4111 194TH ST SW, LYNNWOOD, WA 98036-4604
(425) 835-5200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201808802RN
OR
163W00000X
Registered Nurse
RN60486451
WA
163WG0000X
General Practice Registered Nurse
RN226145
GA
363L00000X
Nurse Practitioner
AP60488948
WA
363LF0000X
Family Nurse Practitioner
201809996NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
AP60488948
WA
367A00000X
Advanced Practice Midwife
AP60569998
WA
Other
Enumeration date
07/07/2014
Last updated
05/04/2022
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