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Search › Washington › 363LF0000X

Shannon Bolt, ARNP

NPI 1083006522 · on the registry since 2015

Practice

Address
4209 Tieton Dr
Yakima, WA 98908
Phone
(509) 654-9810
Fax
(509) 966-8812
Organisation at this address
Wells Kurt Labberton
David A Clark Dds Pllc
David A Clark Dds Pllc
Jenatte Clark Dermatology Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
163W00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-11-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington