Organization
BRENDA SHANLEY ARNP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA ANN SHANLEY ARNP (OWNER)
(509) 928-5911
Entity
Organization
Contact information
Practice address
408 N MULLAN RD, SUITE 108, SPOKANE VALLEY, WA 99206-3863
(509) 928-5911
(509) 928-3911
Mailing address
PO BOX 8, SPOKANE VALLEY, WA 99037-0008
(509) 928-5911
(509) 928-3911
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP30007025
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9648742
—
WA
Enumeration date
08/09/2006
Last updated
08/12/2011
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