Individual provider · Type 1 NPI

Shannon Crystal Antipov, LPN

General Practice Physician · Seattle, WA

NPI number 1417844556 Active

Practice location

13555 Aurora Ave N
Seattle, WA 98133-7511

Call (206) 848-4447 Map

Mailing address

1887 Whitney Mesa Dr # 4832
Henderson, NV 89014-2069

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XLP6134072 (WA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1417844556

Shannon Crystal Antipov, LPN's National Provider Identifier is 1417844556, issued on Jun 20, 2025. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Seattle, WA. The record was last updated on Jun 20, 2025.