IndividualActive
Susan Shane, ARNP
NPI 1366456832 · Women's Health Clinical Nurse Specialist · Forks, WA
Provider details
- NPI number
- 1366456832
- Entity type
- Individual
- Primary specialty
- Women's Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- No
- License
- RN00050684 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
390 Founders Way
Suite 1
Forks, WA 98331-9062
Phone: (360) 374-9180
Fax: (360) 374-3162
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 153
Forks, WA 98331-0153
Registry dates
- Enumerated
- 2006-07-28
- Last updated
- 2011-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.