Provider Demographics
NPI:1598710840
Name:LOWELL, SHONA ELIZABETH (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:SHONA
Middle Name:ELIZABETH
Last Name:LOWELL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:SHONA
Other - Middle Name:ELIZABETH
Other - Last Name:MCNEIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:PO BOX 3360
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97208-3360
Mailing Address - Country:US
Mailing Address - Phone:866-747-2455
Mailing Address - Fax:
Practice Address - Street 1:1321 COLBY AVE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-1665
Practice Address - Country:US
Practice Address - Phone:425-261-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30006798363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1014123Medicaid
WA0192262OtherLABOR & INDUSTRIES
WA8912233OtherCRIME VICTIMS L&I
WA9644840Medicaid
WA1014123Medicaid
WAG8904515Medicare PIN
WAG8904515Medicare PIN