Individual
SHANNON ELAINE WINTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP61013162
WA
363LA2200X
Adult Health Nurse Practitioner
Primary
AP61013162
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548564198
—
WA
05
—
87321335
—
CO
Enumeration date
12/22/2010
Last updated
02/27/2020
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