Individual provider · Type 1 NPI

William Shane Wilson

Licensed Practical Nurse · Vancouver, WA

NPI number 1801705207 Active

Practice location

2805 E 19th St
Vancouver, WA 98661-4614

Fax (360) 768-5992

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP00046353 (WA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1801705207

William Shane Wilson's National Provider Identifier is 1801705207, issued on Sep 2, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Vancouver, WA. The record was last updated on Sep 2, 2026.