Individual
SHANNON MARIE DRIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
518 E CLAY AVE, CHEWELAH, WA 99109-8947
(509) 935-6001
Mailing address
310 TAMERA DR, GRANGEVILLE, ID 83530-1856
(509) 690-0940
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0003
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58313
IDAHO STATE BOARD OF NURSING
ID
01
—
60320212
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
01
—
AP1547701
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
01
—
F03240182
AANPCB
—
Enumeration date
01/08/2020
Last updated
04/10/2024
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