Individual
DAVID B SHANHOLTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
12800 BOTHELL EVERETT HWY, EVERETT, WA 98208
(425) 316-5150
(425) 316-5153
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60538059
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235315706
OPTIMA/SENTARA HEALTH
VA
05
—
1235315706
—
VA
Enumeration date
01/15/2008
Last updated
03/24/2021
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