Individual provider · Type 1 NPI

Shantell Wason

Emergency Registered Nurse · Atlanta, GA

NPI number 1013888460 Active

Practice location

550 Peachtree St NE
Atlanta, GA 30308-2212

Mailing address

240 North Ave NE Apt 1206
Atlanta, GA 30308-2497

Specialties and licenses

TaxonomyCodeLicense
Emergency Registered Nurse Primary 163WE0003XRN330267 (GA)

Emergency Registered Nurse: Definition to come...

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About NPI 1013888460

Shantell Wason's National Provider Identifier is 1013888460, issued on Sep 17, 2025. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Atlanta, GA. The record was last updated on Sep 17, 2025.