Individual provider · Type 1 NPI
Susan Lee Shane, ARNP
Women's Health Clinical Nurse Specialist · Forks, WA
NPI number
1366456832
Active
Practice location
390 Founders Way, Suite 1
Forks, WA 98331-9062
Fax (360) 374-3162
Mailing address
PO Box 153, 411 Calawah
Forks, WA 98331-0153
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | RN00050684 (WA) |
| Women's Health Clinical Nurse Specialist Primary | 364SW0102X | AP30000331 (WA) |
Women's Health Clinical Nurse Specialist: Definition to come...
2 other providers at this address
About NPI 1366456832
Susan Lee Shane, ARNP's National Provider Identifier is 1366456832, issued on Jul 28, 2006. The primary taxonomy on file is Women's Health Clinical Nurse Specialist (364SW0102X), and the practice location is in Forks, WA. The record was last updated on Jun 29, 2011.