Sheri Lee Shumway, RN

Individual provider Active NPI Ambulatory Care Registered Nurse · Nespelem, WA

NPI 1477636769 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1477636769
Entity type
Individual (NPI type 1)
Primary specialty
Ambulatory Care Registered Nurse 163WP2201X
License
RN0073657 (AZ)
Practice address
29 Nespelem/Sanpoil St
Nespelem, WA 99155-0071
Phone
(509) 634-2900
Fax
(509) 634-2945
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN0073657AZMDAmbulatory Care Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X RN0073657 AZ Yes

Addresses

Primary practice location

29 Nespelem/Sanpoil St
Nespelem, WA 99155-0071

Mailing address

29 Nespelem/Sanpoil St
Nespelem, WA 99155-0071
Phone (509) 634-2900

Other identifiers

IdentifierTypeStateIssuer
7100100MedicaidWA

Other providers in Nespelem, WA

All providers in Nespelem, WA · Ambulatory Care Registered Nurse in Washington

Sources for this page

Verify at the official NPI Registry.