person
Susan Lee Shane, ARNP
Women's Health Clinical Nurse Specialist in Forks, Washington
NPI 1366456832

Susan Lee Shane is a Women's Health Clinical Nurse Specialist based in Forks, WA and is specialized in Women's Health. Susan Lee Shane practices in Forks, WA and has the professional credentials of ARNP. The NPI Number for Susan Lee Shane is 1366456832 and holds a License No. RN00050684 (Washington).

The current practice location address for Susan Lee Shane is 390 Founders Way, Forks, WA and can be reached out via phone at 360-374-9180 and via fax at 360-374-3162. You can also correspond with Susan Lee Shane through the mailing address at PO BOX 153, FORKS, WA - 98331-0153 (mailing address contact number: 360-374-9180).

Location: 390 Founders Way, Forks, WA, 98331-0153
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Provider Profile Details
NPI Number
1366456832
Provider Name
Susan Lee Shane
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
390 Founders Way, Forks, WA, 98331-0153
Phone Number
360-374-9180
Fax Number
360-374-3162
Provider Enumeration Date
07/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9607458 05 WA
institution
Provider Business Practice Location Address Details
Address
390 Founders Way
City
State
Zip
98331-9062
Phone Number
360-374-9180
Fax Number
360-374-3162
person
Provider Business Mailing Address Details
Address
390 Founders Way
City
State
Zip
98331-9062
Phone Number
360-374-9180
Fax Number
360-374-3162
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Women's Health Care, Ambulatory
Taxonomy
License No.
AP30000331 (Washington)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Women's Health
Taxonomy
License No.
RN00050684 (Washington)
Definition
Definition to come...
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