Individual provider · Type 1 NPI

Malisa Shellman

Licensed Practical Nurse · Lakewood, WA

NPI number 1891530564 Active

Practice location

9500 Front St S Ste 100
Lakewood, WA 98499-9415

Mailing address

6306 E Sarazen St SE
Lacey, WA 98513-8301

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP61220017 (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 1891530564

Malisa Shellman's National Provider Identifier is 1891530564, issued on Jun 26, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Lakewood, WA. The record was last updated on Jul 5, 2024.