Individual
SHANNON KELLY RASTETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
160 NW GILMAN BLVD STE 406, ISSAQUAH, WA 98027-2549
(206) 523-1212
Mailing address
13606 231ST PL SE, ISSAQUAH, WA 98027-8455
(206) 660-5602
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN60179026
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTHER
N/A
WA
Enumeration date
10/18/2021
Last updated
10/18/2021
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