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Individual

SHIRLEY AKEHURST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
2811 TIETON DR, YAKIMA, WA 98902-3761
(509) 575-8000
Mailing address
1540 ROZA DR, ZILLAH, WA 98953-9357
(509) 654-3600

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61184147
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AP61184147
DOH BOARD LICENSE
WA
Enumeration date
06/15/2021
Last updated
06/15/2021
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