Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

William Shane Wilson

Individual provider Licensed Practical Nurse · NPI 1801705207

William Shane Wilson is a Licensed Practical Nurse in Vancouver, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2026

Practice location Address checks out

2805 E 19th St
Vancouver, WA 98661-4614
Phone: (360) 255-5993
Fax: (360) 768-5992
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence LP00046353 (WA)

Record details

NPI number1801705207
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 2, 2026
Last updated in NPPESSeptember 2, 2026
Certification dateSeptember 2, 2026

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