Marisa Shane, is a
Licensed Practical Nurse based in Richland, Washington. Marisa Shane is licensed to practice in Washington (license number WALP60667814) and her current practice location is
1312 Woodbury St, Richland, Washington. She can be reached at her office (for appointments etc.) via phone at
(909) 524-5613.
NPI number for Marisa Shane is 1811824667 and her current mailing address is 1312 Woodbury St, Richland, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811824667.
Provider's Profile
| Full Name | Marisa Shane |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 1312 Woodbury St, Richland, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811824667
- Provider Enumeration Date: 05/06/2026
- Last Update Date: 05/06/2026
Medical Identifiers
Medical identifiers for Marisa Shane such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1811824667 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | WALP60667814 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marisa Shane is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Marisa Shane, 1312 Woodbury St, Richland, WA 99354-2866 Ph: () - | Marisa Shane, 1312 Woodbury St, Richland, WA 99354-2866 Ph: (909) 524-5613 |
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