Individual
SHELLY BETHANN DAMSCHRODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
901 S 5TH ST, MOUNT VERNON, WA 98274-3942
(360) 814-7300
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP70062108
WA
363LF0000X
Family Nurse Practitioner
Primary
AP7289
AZ
Other
Enumeration date
12/05/2009
Last updated
03/30/2026
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