Individual
MR. SHAYNE PHILIP BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
PO BOX 100, WELLPINIT, WA 99040-0100
(509) 258-4517
Mailing address
PO BOX 100, WELLPINIT, WA 99040-0100
(509) 258-4517
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00152476
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60070792
WA
Other
Enumeration date
01/06/2009
Last updated
04/01/2025
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