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NPI Code Detail

MEDICARE: SHANNA MARIE MCBRIDE

MEDICARE: SHANNA MARIE MCBRIDE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health WorkerWA

General Provider Information

NPI Number : 1851229009
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNA MARIE MCBRIDE
Provider Business Mailing Address
First Line : 7834 HOLIDAY VALLEY DR NW
Second Line :
City : OLYMPIA
State : WA
Zip : 98502-8341
Country : US
Telephone Number : 360-556-4965
Fax Number :
Provider Business Practice Location Address
First Line : 7834 HOLIDAY VALLEY DR NW
Second Line :
City : OLYMPIA
State : WA
Zip : 98502-8341
Country : US
Telephone Number : 360-556-4965
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2026
Last Update Date : 05/09/2026

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Directions to “ SHANNA MARIE MCBRIDE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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