Erin D. Shade PA-C

NPI 1003836529 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1003836529
Gender Female
Enumeration Date 07/20/2006
Last Updated 10/06/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
1101 MADISON ST.
SUITE 1500
SEATTLE WA, 98104, US
Phone (206) 965-1700
Fax (206) 965-1736
Business Location
1101 MADISON ST.
SUITE 1500
SEATTLE WA, 98104, US
Phone (206) 965-1700
Fax (206) 965-1736
Toxanomy
Taxonomy Code 133V00000X
License State Washington
License Number DI00001488
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According to our database, Erin D. Shade PA-C NPI is 1003836529, taxonomy code is 133V00000X and license number is DI00001488, license state is located at Washington. Erin D. Shade PA-C physically located at 1101 Madison St., Seattle WA, 98104. NPI Number Erin D. Shade PA-C has the Individual type.

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1003836529 NPI number is provided on an as is basis without warranty of any kind. 1003836529 is maintained by the National Plan & Provider Enumeration System. The contents of Erin D. Shade PA-C are for informational purposes only.