Most Relevant Information
Provider Data
| NPI Number: | 1003687286 |
| Provider Name: | SHIELISSE TE RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN60769380 |
Most Important Dates
| Enumeration Date: | 01/16/2024 |
| Last Updated: | 01/25/2024 |
Provider Practice Location
12434 NE 157TH ST
WOODINVILLE
WA
980727915
Practice Location Phone/Fax
| Phone: | 6624023446 |
| Fax: |
Provider Mailing Location
12040 NE 128TH ST # MS 103
KIRKLAND
WA
980343013
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |