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SUSAN LEE SHANE ARNP
NPI 1366456832
Clinical Nurse Specialist - Women's Health in Forks, WA

Active since July 28, 2006
390 FOUNDERS WAY, SUITE 1, FORKS, WA 98331(360) 374-9180(360) 374-3162 Get Directions Write a Review

NPPES record last updated: June 29, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Lee Shane Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN LEE SHANE ARNP (NPI 1366456832) is an individual women's health provider in Forks, Washington, licensed in Washington (AP30000331) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1366456832
Entity TypeIndividualFemale
Primary Taxonomy364SW0102X
Provider Legal NameSUSAN LEE SHANECredential: ARNP
Location Address390 FOUNDERS WAY, SUITE 1Forks, WA 98331-9062
Mailing AddressPo Box 153, 411 CalawahForks, WA 98331-0153 · (360) 374-9180 · Fax (360) 374-3162
Phone(360) 374-9180
Fax(360) 374-3162
Sole ProprietorNo
Enumeration DateJuly 28, 2006
Last NPPES UpdateJune 29, 2011
✔ NPI 1366456832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Nurse Specialist · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SW0102X
License✔ Licensed in WA · AP30000331
Also ListedRegistered Nurse · Women's Health Care, AmbulatoryTaxonomy 163WW0101X · License RN00050684 (WA)
390 FOUNDERS WAY, Forks, WA 98331
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Other Identifiers 3

Medicare UPINR58574WA
Medicaid9607458WA
Medicare ID-Type Unspecified503999WA

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA PORTNOY ARNP
Nurse Practitioner (Family)
390 FOUNDERS WAY
FORKS, WA 98331
Clallam County (360) 374-6998
CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Clinic/Center (Rural Health)
390 FOUNDERS WAY
FORKS, WA 98331
Clallam County (360) 374-6271
DR. JACQUELINE S OSLAND MD
Surgery
390 FOUNDERS WAY
FORKS, WA 98331
Clallam County (360) 374-6998

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Shane's NPI number?

The NPI number for Susan Shane is 1366456832. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Susan Shane located?

Susan Shane practices at 390 Founders Way Suite 1, Forks, WA 98331. The listed phone number is (360) 374-9180.

What is Susan Shane's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Women's Health, with taxonomy code 364SW0102X.

When was this NPI record last updated?

The NPPES record for Susan Shane was last updated on June 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.