Shane, Susan Lee

Shane, Susan Lee is an individual health care provider with primary practice located at 390 Founders Way Suite 1, Forks WA 98331-9062. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Women's Health Care, Ambulatory, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Shane, Susan Lee can be contacted via phone (360) 374-9180.

Contact Information

Primary practice address
390 Founders Way Suite 1 Forks WA 98331-9062
Phone: (360) 374-9180
Fax: (360) 374-3162
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Women's Health Care, Ambulatory 163WW0101X RN00050684 Washington
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 364SW0102X AP30000331 Washington

Profile Details

NPI number 1366456832
LBN Legal business name Shane, Susan Lee
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jun 29th, 2011 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1366456832 NPPES
Washington MEDICAID 9607458

Popular Providers