Provider Demographics
NPI:1881651784
Name:CAMERON, SHIRLEY BINTLIFF (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:SHIRLEY
Middle Name:BINTLIFF
Last Name:CAMERON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8628 S M ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98444-4460
Mailing Address - Country:US
Mailing Address - Phone:253-536-2504
Mailing Address - Fax:
Practice Address - Street 1:8628 S M ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98444-4460
Practice Address - Country:US
Practice Address - Phone:253-536-2504
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP300003906363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology