Pendleton, Shannon

Pendleton, Shannon is an individual health care provider with primary practice located at 3021 Griffin Ave , Enumclaw WA 98022-2369. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pendleton, Shannon can be contacted via phone (360) 825-6511.

Contact Information

Primary practice address
3021 Griffin Ave Enumclaw WA 98022-2369
Fax: (360) 825-6536
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN-1615 Hawaii
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP 60565012 Washington

Profile Details

NPI number 1265866313
LBN Legal business name Pendleton, Shannon
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2013
Last updated Nov 24th, 2015 - about 9 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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