Individual
SHELLEY D. MIKSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ARNP
Contact information
Practice address
1101 MADISON ST STE 1150, SEATTLE, WA 98104-3558
(206) 386-3400
Mailing address
805 MADISON ST STE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00133781
WA
363LW0102X
Women's Health Nurse Practitioner
Primary
AP30005987
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP30005987
STATE LICENSE
WA
Enumeration date
09/20/2005
Last updated
04/03/2018
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