Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | AP30007566 | WA |
NPI | 1922167261 |
---|---|
Provider Name | Shauna N Applin |
First Address | Tacoma, WA 98402-4443 |
Second Address | Tacoma, WA 98405-4559 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2006 |
Last Update Date | 06/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
9651688 | (05) | WA |
P00601271 | RAILROAD MEDICARE (01) | |
Q76469 | (02) |