Individual provider · Type 1 NPI

Phillip Luther Shealy, ARNP, FNP

Family Nurse Practitioner · Renton, WA

NPI number 1811394935 Active

Practice location

801 SW 16th St., Ste. 121
Renton, WA 98057-2628

Call (206) 805-8885 Map

Fax (206) 805-8886

Mailing address

23745 225th Way SE, Ste 201
Maple Valley, WA 98038-5294

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP60508185 (WA)

Family Nurse Practitioner: Definition to come...

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About NPI 1811394935

Phillip Luther Shealy, ARNP, FNP's National Provider Identifier is 1811394935, issued on Dec 4, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Renton, WA. The record was last updated on Mar 22, 2017.