Individual
AMY SHANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4400 37TH AVE S, SEATTLE, WA 98118-1609
(206) 461-6957
(206) 461-7810
Mailing address
905 SPRUCE ST, STE. 300, SEATTLE, WA 98104-2474
(206) 461-6935
(206) 461-8382
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
RN00061841
WA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
AP30001299
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9600263
—
WA
Enumeration date
08/30/2006
Last updated
10/21/2011
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