person
Shannon Kelly Rastetter, RN
Lactation Consultant (Registered Nurse) in Issaquah, Washington
NPI 1235892167

Shannon Kelly Rastetter is a Lactation Consultant (Registered Nurse) based in Issaquah, WA and is specialized in Lactation Consultant. Shannon Kelly Rastetter practices in Issaquah, WA and has the professional credentials of RN. The NPI Number for Shannon Kelly Rastetter is 1235892167 and holds a License No. RN60179026 (Washington).

The current practice location address for Shannon Kelly Rastetter is 160 Nw Gilman Blvd Ste 406, Issaquah, WA and can be reached out via phone at 206-523-1212. You can also correspond with Shannon Kelly Rastetter through the mailing address at 13606 231ST PL SE, ISSAQUAH, WA - 98027-8455 (mailing address contact number: 206-660-5602).

Location: 160 Nw Gilman Blvd Ste 406, Issaquah, WA, 98027-8455
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Provider Profile Details
NPI Number
1235892167
Provider Name
Shannon Kelly Rastetter
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
160 Nw Gilman Blvd Ste 406, Issaquah, WA, 98027-8455
Phone Number
206-523-1212
Fax Number
Provider Enumeration Date
10/18/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OTHER 01 WA N/A
institution
Provider Business Practice Location Address Details
Address
160 Nw Gilman Blvd Ste 406
City
State
Zip
98027-2549
Phone Number
206-523-1212
Fax Number
person
Provider Business Mailing Address Details
Address
13606 231St Pl Se
City
State
Zip
98027-8455
Phone Number
206-660-5602
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Lactation Consultant
Taxonomy
License No.
RN60179026 (Washington)
Definition
Definition to come...
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