Shannon, Colleen Ann

Shannon, Colleen Ann is an individual health care provider with primary practice located at 3823-172Nd St Ne Cascade Skagit Health Alliance, Arlington WA 98223. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Shannon, Colleen Ann can be contacted via phone (360) 651-8365.

Contact Information

Primary practice address
3823-172Nd St Ne Cascade Skagit Health Alliance Arlington WA 98223
Phone: (360) 651-8365
Fax: (360) 651-8368
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30004599 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30004599 Washington

Profile Details

NPI number 1639270028
LBN Legal business name Shannon, Colleen Ann
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Feb 9th, 2012 - about 12 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 1639270028 NPPES
Washington MEDICAID 9624370

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