Miller, Shelly D

Miller, Shelly D is an individual health care provider with primary practice located at 3322 Broadway 2 South, Everett WA 98201-4425. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Psychiatric/Mental Health. Nursing Service Providers / Psychiatric/Mental Health is her primary health care specialty. Miller, Shelly D can be contacted via phone (425) 349-7289.

Contact Information

Primary practice address
3322 Broadway 2 South Everett WA 98201-4425
Phone: (425) 349-7289
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN60331698 Washington
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN60331698 Washington

Profile Details

NPI number 1942615745
LBN Legal business name Miller, Shelly D
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2014
Last updated Jul 10th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942615745 NPPES
Washington Other RN60331698 RN LICENSE

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