Individual
SHANNON TEBBETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2781 S 242ND ST, DES MOINES, WA 98198-5166
(206) 212-4500
Mailing address
7227 2ND AVE NW, SEATTLE, WA 98117-4810
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
61014429
WA
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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