Individual
WARREN SHADKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
11335 NE 122ND WAY STE 105, KIRKLAND, WA 98034-6933
(425) 298-7480
Mailing address
11335 NE 122ND WAY STE 105, KIRKLAND, WA 98034-6933
(425) 298-7480
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
277126
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5012834
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
836257
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61098454
WA
Other
Enumeration date
01/13/2020
Last updated
02/22/2023
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