Individual
SHANA CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3624 ENSIGN RD NE STE F, OLYMPIA, WA 98506-5114
(360) 226-8153
Mailing address
3624 ENSIGN RD NE STE F, OLYMPIA, WA 98506-5114
(360) 226-8153
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30006938
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP30006938
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9645052
—
WA
Enumeration date
07/20/2006
Last updated
04/19/2025
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