Provider Demographics
NPI:1033421268
Name:SHAUBELL, ELIZABETH J (ARNP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:J
Last Name:SHAUBELL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE BOONE ROAD
Mailing Address - Street 2:NAVAL HOSPITAL
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98312-1898
Mailing Address - Country:US
Mailing Address - Phone:360-475-4379
Mailing Address - Fax:360-475-4646
Practice Address - Street 1:ONE BOONE ROAD
Practice Address - Street 2:NAVAL HOSPITAL
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98312-1898
Practice Address - Country:US
Practice Address - Phone:360-475-4379
Practice Address - Fax:360-475-4646
Is Sole Proprietor?:No
Enumeration Date:2010-07-02
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19856363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily