Fitzgerald, Shannon Marie
Fitzgerald, Shannon Marie is an individual health care provider with primary practice located at 4800 Sand Point Way Ne , Seattle WA 98105-3901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fitzgerald, Shannon Marie can be contacted via phone (206) 987-4650.Contact Information
Primary practice address
4800 Sand Point Way Ne
Seattle WA 98105-3901
Phone: (206) 987-4650
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP30002531 | Washington |
Profile Details
| NPI number | 1780674200 |
|---|---|
| LBN Legal business name | Fitzgerald, Shannon Marie |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Jun 19th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780674200 | NPPES |
| Washington | MEDICAID | 7093699, ID #9608936 |
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