Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON URSULA WATERMAN, MD
ActiveSHANNON URSULA WATERMAN, MD is a General Practice healthcare provider located in TACOMA, Washington. NPI 1649279860 is currently active in the NPPES registry. Verify at CMS.
General Practice · TACOMA, WA
Registration Details
- NPI Number
- 1649279860
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 19, 2005 (21.038788096952 yrs)
- Last Updated
- Aug 5, 2009
- Licenses
-
025209MD00041909 (WA)MD00041919 (WA)
Practice Information
- Address
-
11225 PACIFIC AVENUEPARKLAND CLINIC COMMUNITY HEALTHCARETACOMA, WA, 98444Browse WA providers · Browse ZIP 98444
- Phone
- 2535362020
- Fax
- 2535365327
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- General Practice
Other General Practice Providers in TACOMA, WA
| Name | Credential | NPI |
|---|---|---|
| THU VAN LE | MD | 1295716884 |
| DESISLAVA ZLATANOVA HITE | M.D. | 1003888256 |
| DR. GREGORY MICHAEL JOHNSTON | M.D. | 1043282023 |
| JANE ANN MOORE | MD | 1710936208 |
| DR. LOUIS CORNELIUS ENKEMA JR. | MD | 1447281613 |
| DR. GLENN J. KIETZER | MD | 1003847179 |
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.