Shannon Eagle is a Nurse Practitioner in Olympia, Washington. Shannon Eagle practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Shannon Eagle is 1740312057. The last update date is 2021-04-26.
Shannon Eagle's current location address is 700 Lilly Rd Ne, Olympia, Washington. You can contact this provider via phone number 3609237000. The mailing address for Shannon Eagle is 700 Lilly Rd Ne, Olympia, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Eagle |
|---|---|
| Address | 700 Lilly Rd Ne, Olympia, Washington |
| Phone Number | 3609237000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LMP, RN |
NPI Number Detail
| NPI Number | 1740312057 |
|---|---|
| Provider Enumeration Date | 2007-03-12 |
| Last Updated Date | 2021-04-26 |
Provider Mailing Address Detail
| Address | 700 Lilly Rd Ne |
|---|---|
| City | Olympia |
| State | Washington (WA) |
| Post Code | 985065115 |
| Phone Number | 3609237000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | AP60652210 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique 10-digit identification code issued to Shannon Eagle by the Centers for Medicare & Medicaid Services?
The Shannon Eagle has been assigned the NPI (National Provider Identifier) 1740312057 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Shannon Eagle located?
The Shannon Eagle is located at 700 Lilly Rd Ne, Olympia, WA 985065115.
What is Shannon Eagle's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shannon Eagle is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1740312057 to Shannon Eagle?
The Centers for Medicare & Medicaid Services originally issued the 1740312057 to Shannon Eagle on 2007-03-12.
When was the information pertaining to Shannon Eagle most recently updated or revised?
The details related to Shannon Eagle, including its address, specialty, and other relevant information, were last updated or revised on 2021-04-26.
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