Healthcare Provider Details
I. General information
NPI: 1053959551
Provider Name (Legal Business Name): ELIZABETH SHEVINS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/16/2019
Last Update Date: 03/22/2025
Certification Date: 03/22/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
753 N 35TH ST STE 208D
SEATTLE WA
98103-8870
US
IV. Provider business mailing address
1310 9TH ST APT 106
BELLINGHAM WA
98225-6896
US
V. Phone/Fax
- Phone: 206-649-5337
- Fax: 206-360-8087
- Phone: 206-649-5337
- Fax: 206-360-8087
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WP0809X |
| Taxonomy | Adult Psychiatric/Mental Health Registered Nurse |
| License Number | RN60777125 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | AP61309750 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: