Individual
SHIRLEY NIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 259-0966
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN61284654
WA
363LF0000X
Family Nurse Practitioner
Primary
ARNP.AP.70024845-NP
WA
Other
Enumeration date
07/03/2025
Last updated
08/25/2025
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