Shallae Eugley, RN

Individual provider Active NPI School Registered Nurse · Fife, WA

NPI 1508102591 · NPPES record last updated Mar 13, 2013

Key facts

NPI
1508102591
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
RN60144679 (WA)
Practice address
2901 54TH Ave E
Fife, WA 98424-2110
Phone
(253) 517-1600
NPI assigned
Dec 18, 2012
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
RN60144679WAMDSchool Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN60144679 WA Yes

Addresses

Primary practice location

2901 54TH Ave E
Fife, WA 98424-2110

Mailing address

2901 54TH Ave E
Fife, WA 98424-2110

Other providers in Fife, WA

All providers in Fife, WA · School Registered Nurse in Washington

Sources for this page

Verify at the official NPI Registry.