Individual
SHELLEY TANTAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
9426 SW 268TH ST, VASHON, WA 98070-8416
(707) 758-7700
Mailing address
9426 SW 268TH ST, VASHON, WA 98070-8416
(707) 758-7700
(360) 680-5828
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
95003458
CA
363LA2100X
Acute Care Nurse Practitioner
AP60961397
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60961397
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2206062
—
WA
01
—
452330
LABOR & INDUSTRIES
WA
Enumeration date
02/07/2016
Last updated
05/13/2026
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