Individual provider · Type 1 NPI
Shannon Eloise Bolt, ARNP
Family Nurse Practitioner · Yakima, WA
NPI number
1083006522
Active
Practice location
4209 Tieton Dr
Yakima, WA 98908-3377
Fax (509) 966-8812
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN60528267 (WA) |
| Family Nurse Practitioner Primary | 363LF0000X | AP61369683 (WA) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1083006522
Shannon Eloise Bolt, ARNP's National Provider Identifier is 1083006522, issued on Feb 20, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Yakima, WA. The record was last updated on Nov 21, 2022.