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Individual

SHELBY MARIE ELIZAGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP, DNP

Contact information

Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-2420
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN60425195
WA
363L00000X
Nurse Practitioner
AP61228632
WA
363LA2100X
Acute Care Nurse Practitioner
Primary
AP61228632
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1215569009
WA
Enumeration date
02/10/2020
Last updated
01/03/2022
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