PHILLIP LUTHER SHEALY

RENTON, WA
NPI1811394935
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WA  AP60508185)
Enumeration Date2014-12-04
Last Update Date2017-03-22
Business Address
-- PHILLIP LUTHER SHEALY ARNP, FNP
801 SW 16TH ST. STE. 121
RENTON, WA 98057-2628
Phone number: 206-805-8885
Mailing Address
-- PHILLIP LUTHER SHEALY ARNP, FNP
23745 225TH WAY SE STE 201
MAPLE VALLEY, WA 98038-5294
Phone number: 803-943-8358