SHANNON EAGLE

OLYMPIA, WA
NPI1740312057
Former NameSHANNON MOJICA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: WA  AP60652210)
Additional Taxonomies163WC1500X Registered Nurse, Community Health
(Licence: WA  RN60170208)
225700000X Massage Therapist
(Licence: WA  MA00022115)
363L00000X Nurse Practitioner
(Licence: WA  AP60652210)
Enumeration Date2007-03-12
Last Update Date2021-04-26
Business Address
SHANNON EAGLE LMP, RN
700 LILLY RD NE
OLYMPIA, WA 98506-5115
Phone number: 360-923-7000
Mailing Address
SHANNON EAGLE LMP, RN
700 LILLY RD NE
OLYMPIA, WA 98506-5115
Phone number: 360-923-7000