Individual
SHANNON EDMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16810 126TH AVE NE, WOODINVILLE, WA 98072-7978
(425) 806-3868
Mailing address
16810 126TH AVE NE, WOODINVILLE, WA 98072-7978
(425) 806-3868
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60105315
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60326002
WA
Other
Enumeration date
01/21/2013
Last updated
01/21/2013
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