Shine Pediatrics, Pllc
NPI #1821851239 in Bellevue, Washington
Provider Information
- NPI Number
- 1821851239
- Entity Type
- Organization
- Organization Name
- Shine Pediatrics, Pllc
- Primary Specialty
- Nurse Practitioner - Pediatrics
- Enumeration Date
- Jan 31, 2024
- Last Updated
- Aug 7, 2024
Practice Location
- Address
- 1600 116TH AVE NE STE 304
- City
- Bellevue
- State
- Washington
- ZIP Code
- 98004-3057
- Phone
- (225) 715-5242
Authorized Official
- Name
- STACI SWAN, ARNP
- Title
- CO-OWNER, ARNP
- Phone
- (225) 715-5242
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
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