Individual
SHAVONNE LATRICE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, DNP
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2499
(206) 744-3000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61442224
WA
363LF0000X
Family Nurse Practitioner
RN60559903
WA
Other
Enumeration date
08/28/2020
Last updated
11/04/2024
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