Individual provider · Type 1 NPI

Sarah D. Shackelford

Student in an Organized Health Care Education/Training Program · Colville, WA

NPI number 1417427253 Active

Practice location

165 E Hawthorne Ave
Colville, WA 99114-2629

Call (509) 684-4597 Map

Fax (509) 684-5286

Specialties and licenses

TaxonomyCodeLicense
Nurse's Aide 376K00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1417427253

Sarah D. Shackelford's National Provider Identifier is 1417427253, issued on Dec 4, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Colville, WA. The record was last updated on Jan 8, 2019.