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Individual

SHANNA LEE BELLAMY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP-CNP

Contact information

Practice address
605 S COOLIDGE ST, MOSES LAKE, WA 98837-1873
(509) 765-0674
Mailing address
10333 KUYKENDAHL RD STE D, THE WOODLANDS, TX 77382-2878
(713) 897-7244

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
10045989
OR
363LF0000X
Family Nurse Practitioner
12289
CT
363LF0000X
Family Nurse Practitioner
Primary
AP130857
TX

Other

Enumeration date
06/07/2016
Last updated
12/05/2025
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