Individual
SHANNON MARIE PEERBOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3908 10TH ST SE, PUYALLUP, WA 98374-2188
(253) 845-7073
Mailing address
3908 10TH ST SE, PUYALLUP, WA 98374-2188
(253) 845-7073
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61092015
WA
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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