Individual
MS. COLLEEN ANN SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3823-172ND ST NE, CASCADE SKAGIT HEALTH ALLIANCE, ARLINGTON, WA 98223
(360) 651-8365
(360) 651-8368
Mailing address
1400 E. KINCAID ST., SKAGIT REGIONAL CLINICS, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30004599
WA
363LF0000X
Family Nurse Practitioner
AP30004599
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9624370
—
WA
Enumeration date
09/26/2006
Last updated
02/09/2012
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