Individual
SHANA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
301 BALMER ST SW, ORTING, WA 98360-7498
(410) 794-6586
Mailing address
1950 112TH AVE NE, BELLEVUE, WA 98004-2957
(410) 794-6586
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61620300
WA
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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