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Individual

MS. REBECCA M BODLE-SHINGU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
2555 MARVIN RD NE, LACEY, WA 98516-3138
(360) 413-4200
(360) 413-4225
Mailing address
2555 MARVIN RD NE, LACEY, WA 98516-3138
(360) 413-4200
(360) 413-4225

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30003915
WA
363LF0000X
Family Nurse Practitioner
Primary
AP30003915
WA

Other

Enumeration date
08/02/2005
Last updated
03/23/2026
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