| NPI | 1659476505 |
|---|---|
| Other Name | PHILLIS ANNETTE SHAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP3001680) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP3001680) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2023-06-19 |