Individual
SHANNON PRESCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ARNP
Contact information
Practice address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Mailing address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
458700
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61163372
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
CNP.0027166
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN.CNP.0027166
LICENSE
OH
Enumeration date
03/18/2020
Last updated
10/18/2021
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