Elizabeth Kathleen Shuckhart, PA-C
Physician Assistant, Medical in Federal Way, WA. Individual provider (NPI-1).
NPI number1780968883
StatusActive
Last updated in NPPESMay 5, 2021
Details
- NPI
- 1780968883
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Elizabeth Kathleen Shuckhart
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 6, 2011
- Certification date
- May 5, 2021
- Last updated
- May 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA60252177 | WA | Yes |
Practice location
301 S 320th StFederal Way, WA 98003-5200
Phone 253-874-7000
Mailing address
301 S 320th StFederal Way, WA 98003-5200
Phone 253-874-7000
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All 12 Medical Physician Assistant providers in Federal Way · All 3,475 providers in Federal Way
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