Individual
KAREN SHIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 N DIVISION ST STE 304, AUBURN, WA 98001-4939
(253) 939-9400
(253) 735-8697
Mailing address
3209 S 23RD ST STE 340, TACOMA, WA 98405-1602
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60527158
WA
Other
Enumeration date
11/22/2014
Last updated
06/21/2019
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