Provider Demographics
NPI:1497001929
Name:DABROSKI, SHANA RAE (RN)
Entity Type:Individual
Prefix:MRS
First Name:SHANA
Middle Name:RAE
Last Name:DABROSKI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:SHANA
Other - Middle Name:RAE
Other - Last Name:ZAWACKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1500 E COLLEGE WAY STE A-534
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-5637
Mailing Address - Country:US
Mailing Address - Phone:360-540-4142
Mailing Address - Fax:
Practice Address - Street 1:30 HUNTER LN
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-2499
Practice Address - Country:US
Practice Address - Phone:800-748-3243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-02
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY644500-1163W00000X
WA60929733163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse