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General NPI Number Information
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NPI Number | 1821414640
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Entity Type | Individual
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Provider Name | HANNAH AMELIA SHELTON MN ARNP FNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/17/2014
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Last Update Date | 10/13/2023
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Provider Practice Location Address
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Address Line | 1268 LEE BLVD
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City | RICHLAND
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State | WA
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Zip | 99352
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Country | US
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Telephone | 509-942-2660
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Fax | 509-942-2836
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Provider Business Mailing Address
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Address Line | 500 GAGE BLVD SUITE 203
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City | RICHLAND
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State | WA
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Zip | 99352
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Country | US
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Telephone | 509-942-3627
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Fax | 509-942-2268
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN00172683
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP60456297
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License Number State | WA
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