NPI Profile for SHAYNE P BLEVINS in WELLPINIT, WA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Registered Nurse |
163W00000X |
| NPI # | 1538305057 |
|
| Status | Active | |
| Credentials | NP-C (Nurse Practitioner - Certified) | |
| Entity | Individual | |
| Enumeration date | 01/06/2009 | |
| Last updated | 04/01/2025 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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SHAYNE P BLEVINS
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