Search › Washington › 225X00000X
Cerissa Nina Shaw, OTR
NPI 1700090917 · on the registry since 2007
Practice
- Address
- 2202 144th Ave Se
Bellevue, WA 98007 - Phone
- (941) 661-4637
- Organisation at this address
- Bellevue Haven Adult Family Home, Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Also registered as
- 225X00000X
- Licence states on file
- WA, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-07-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington