Provider Demographics
NPI:1922167261
Name:APPLIN, SHAUNA N (ARNP)
Entity Type:Individual
Prefix:
First Name:SHAUNA
Middle Name:N
Last Name:APPLIN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:SHAUNA
Other - Middle Name:N
Other - Last Name:SOLOMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:1019 PACIFIC AVE
Mailing Address - Street 2:STE 300
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98402-4443
Mailing Address - Country:US
Mailing Address - Phone:253-722-1540
Mailing Address - Fax:253-722-1546
Practice Address - Street 1:1102 S I ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-4559
Practice Address - Country:US
Practice Address - Phone:253-597-3813
Practice Address - Fax:253-597-3815
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30007566363LC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00601271OtherRAILROAD MEDICARE
WA9651688Medicaid
Q76469Medicare UPIN
WA9651688Medicaid