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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHELBY LIDSTROM

Active

SHELBY LIDSTROM is a Physician Assistant healthcare provider located in MONROE, Washington. NPI 1154722155 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MONROE, WA

Registration Details

NPI Number
1154722155
Provider Type
Individual
Gender
Female
NPI Issued
Sep 9, 2014 (11.930708488962 yrs)
Last Updated
Jul 24, 2025
Licenses
PA-2541 (ID)
PA60463924 (WA)

Practice Information

Address
19200 N KELSEY ST
MONROE, WA, 982721431
Browse WA providers · Browse ZIP 98272
Phone
3607947994
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in MONROE, WA

Name Credential NPI
A CHANCELLOR PELL PA-C 1013968254
DENNIS L. NAGY JR. PA-C 1821199134
CHELSEY A STOWE PA-C 1437453669
MISS KRISTIN DIANE FRAZER PA 1902181761
ALEXANDER ROBINWEILER P.A. 1336574607
JESSICA E KUBANY PA-C 1467856138
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.