Provider Demographics
NPI:1558136994
Name:FILMER, SHIANE YONG (ARNP)
Entity Type:Individual
Prefix:
First Name:SHIANE
Middle Name:YONG
Last Name:FILMER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:SHIANE
Other - Middle Name:YONG
Other - Last Name:REDLIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:4604 71ST STREET CT NW
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-8369
Mailing Address - Country:US
Mailing Address - Phone:253-509-2919
Mailing Address - Fax:
Practice Address - Street 1:3226 ROSEDALE ST STE 100
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-1806
Practice Address - Country:US
Practice Address - Phone:253-514-6766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-15
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61510807363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner