Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARICARMEN STOUT SHIELDS, M.D.
ActivePediatrics · PULLMAN, WA
Registration Details
- NPI Number
- 1831585538
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 9, 2015 (11.067207467887 yrs)
- Last Updated
- Aug 4, 2025
- License
-
MD60853005 (WA)
Practice Information
- Address
-
1205 SE PROFESSIONAL MALL BLVD STE 104PULLMAN, WA, 991635423Browse WA providers · Browse ZIP 99163
- Phone
- 5093322605
- Fax
- 5093345754
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in PULLMAN, WA
| Name | Credential | NPI |
|---|---|---|
| MICHAEL J FROSTAD | MD | 1649253840 |
| LENNIS K BOYER | MD | 1689657488 |
| MARTHA HUNT | MD | 1497728646 |
| DR. METHUEL ANDRIANO VISHNU GORDON | M.D. | 1821261728 |
| KATHRYN HRYNIEWICZ | — | 1669748604 |
| JONATHAN LEE | M.D. | 1679935530 |
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.