Individual
MARY GRACE SHELNUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2000
Mailing address
4425 GEORGIA LOOP, COLUMBUS, MS 39705-7596
(469) 667-8934
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
ARNP.AP.70031379-NP
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2025
Last updated
08/05/2025
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