Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN LEE SHANE, ARNP
ActiveWomen's Health Clinical Nurse Specialist · FORKS, WA
Registration Details
- NPI Number
- 1366456832
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 28, 2006 (19.736196540173 yrs)
- Last Updated
- Jun 29, 2011
- Licenses
-
RN00050684 (WA)AP30000331 (WA)
Practice Information
- Address
-
390 FOUNDERS WAYSUITE 1FORKS, WA, 983319062Browse WA providers · Browse ZIP 98331
- Phone
- 3603749180
- Fax
- 3603743162
- Primary Specialty
-
Women's Health Clinical Nurse Specialist
364SW0102X
- Additional Specialty
- Women's Health Clinical Nurse Specialist
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.