| Staci H Swan, | |
|
1600 116th Ave Ne Ste 304, Bellevue, WA 98004-3057 | |
| (225) 715-5242 | |
| Not Available |
| Full Name | Staci H Swan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 1600 116th Ave Ne Ste 304, Bellevue, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235562711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | AP60408810 (Washington) | Primary |
| Entity Name | Shine Pediatrics PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821851239 PECOS PAC ID: 3870039100 Enrollment ID: O20240723003648 |
| Mailing Address | Practice Location Address |
|---|---|
| Staci H Swan, 3509 184th Pl Se, Bothell, WA 98012-8846 Ph: (225) 715-5242 | Staci H Swan, 1600 116th Ave Ne Ste 304, Bellevue, WA 98004-3057 Ph: (225) 715-5242 |
Ms. Jessica Swenson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1231 116th Ave Ne, Suite 950, Bellevue, WA 98004 Phone: 425-454-3366 Fax: 425-460-5954 |
Keenan Smith, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2105 112th Ave Ne Ste 201, Bellevue, WA 98004 Phone: 425-968-5948 |
Shih-yu Chou, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 112th Ave Ne, Bellevue, WA 98004 Phone: 425-453-1039 Fax: 425-453-8955 |
Crystal Chiu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15935 Ne 8th St Ste A101, Bellevue, WA 98008 Phone: 425-920-4840 |
Leslie Elaine Smith, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 116th Ave Ne, Suite #102, Bellevue, WA 98004 Phone: 425-454-5311 Fax: 425-454-8188 |
Hana K Ryan, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11695 Ne 4th St, Bellevue, WA 98004 Phone: 425-637-1855 Fax: 425-344-7970 |
Thomas Chan, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15585 Ne 24th St, Bellevue, WA 98007 Phone: 888-227-3312 |