Individual
MURIEL SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
604 OAKESDALE AVE SW STE 102, RENTON, WA 98057-5204
(208) 205-7812
Mailing address
9850 W ST LUKES DR STE 160, NAMPA, ID 83687-7912
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61522281
WA
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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