Provider Demographics
NPI:1427594282
Name:ANCHETA, SHANAREL (RND)
Entity Type:Individual
Prefix:MRS
First Name:SHANAREL
Middle Name:
Last Name:ANCHETA
Suffix:
Gender:F
Credentials:RND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2106 JONES PL SE
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-4508
Mailing Address - Country:US
Mailing Address - Phone:808-430-9787
Mailing Address - Fax:
Practice Address - Street 1:2106 JONES PL SE
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-4508
Practice Address - Country:US
Practice Address - Phone:808-430-9787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-17
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60586099163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse