Slack, Shannon
Slack, Shannon is an individual health care provider with primary practice located at 2000 Lakeridge Dr Sw , Olympia WA 98502-6001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Slack, Shannon can be contacted via phone (360) 754-2941.Contact Information
Primary practice address
2000 Lakeridge Dr Sw
Olympia WA 98502-6001
Phone: (360) 754-2941
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP60571003 | Washington |
Profile Details
| NPI number | 1790161222 |
|---|---|
| LBN Legal business name | Slack, Shannon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 6th, 2015 |
| Last updated | Apr 19th, 2017 - about 9 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.
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