Provider Demographics
NPI:1922857192
Name:LIZZY SHEVINS PLLC
Entity type:Organization
Organization Name:LIZZY SHEVINS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER-MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEVINS
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:425-765-5249
Mailing Address - Street 1:1533 33RD AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-3936
Mailing Address - Country:US
Mailing Address - Phone:425-765-5249
Mailing Address - Fax:206-360-8087
Practice Address - Street 1:1533 33RD AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-3936
Practice Address - Country:US
Practice Address - Phone:425-765-5249
Practice Address - Fax:206-360-8087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-18
Last Update Date:2024-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty