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Individual

MARCY A SHAPLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2116 E SECTION ST, MOUNT VERNON, WA 98274-9124
(360) 428-1700
(360) 848-4350
Mailing address
2116 E SECTION ST, MOUNT VERNON, WA 98274-9124
(360) 428-1700

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
PA10003789
WA
363A00000X
Physician Assistant
Primary
PA10003789
WA
363A00000X
Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
172515
WORKMANS COMP
WA
01
2252SH
REGENCE BLUE SHIELD 2ND
WA
01
3642SH
REGENCE BLUE SHIELD
WA
05
8363640
WA
Enumeration date
10/02/2006
Last updated
07/19/2019
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