Individual
SHELLY BOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7809 PAMELA CT SE, LACEY, WA 98503-1661
(661) 932-1334
Mailing address
7809 PAMELA CT SE, LACEY, WA 98503-1661
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60698413
WA
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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