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Individual

MRS. SHELLIE MARTHINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
560 GAGE BLVD STE 102, RICHLAND, WA 99352-9531
(509) 942-3135
(509) 627-1188
Mailing address
1024 BEANE RD, MOXEE, WA 98936-9750
(509) 948-2252

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP61059985
WA
363LG0600X
Gerontology Nurse Practitioner
Primary
AP61059985
WA
363LP2300X
Primary Care Nurse Practitioner
AP61059985
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
169.940-00
L&I
WA
Enumeration date
03/29/2020
Last updated
11/13/2024
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