Shannon Slack
Shannon Slack is a Nurse Practitioner in Olympia, Washington. Licensed in Washington. Registered with an NPI since 2015.
- Licensed in
- WA
- In the registry since
- 2015
Practice location Address checks out
2000 Lakeridge Dr SWOlympia, WA 98502-6001
Phone: (360) 754-2941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence AP60571003 (WA) |
|---|
Record details
| NPI number | 1790161222 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 6, 2015 |
| Last updated in NPPES | April 19, 2017 |
| Mailing address | 9039 Silverspot Dr Se, Tumwater, WA 98501-5575 |
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