Most Relevant Information
Provider Data
| NPI Number: | 1003581877 |
| Provider Name: | SHANNON LYNN CARTER |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP0809X |
| Specialty: | Registered Nurse |
| License Number: | 61171299 |
Most Important Dates
| Enumeration Date: | 08/12/2021 |
| Last Updated: | 08/12/2021 |
Provider Practice Location
2600 SW HOLDEN ST
SEATTLE
WA
981263505
Practice Location Phone/Fax
| Phone: | 2069337000 |
| Fax: |
Provider Mailing Location
531 S SULLIVAN ST
SEATTLE
WA
981084534
Provider Mailing Phone/Fax
| Phone: | 5095408132 |
| Fax: |