Individual
SHANE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
2714 153RD ST NW, GIG HARBOR, WA 98332-9210
(253) 358-5382
Mailing address
2714 153RD ST NW, GIG HARBOR, WA 98332-9210
(253) 358-5382
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61365631
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/10/2022
Last updated
10/12/2022
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