| Doctor Name: | MR. DEAN LYLE SHRINER |
| NPI Number: | 1831298611 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ARNP |
| License Number: | AP30000014 |
| Business Practice Address: | 15610 89th Street Court Kp N Lakebay, WA - 983499551 |
| Business Phone Number: | 2538849221 |
| Business Fax Number: | 2538845523 |
| Mailing Address: | Po Box 129, VAUGHN |
| State: | WA |
| Postal Code: | 983940129 |
| Phone Number: | 2538849221 |
| Fax Number: | 2538845523 |
| NPI Enumeration Date: | 09/21/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP30000014 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |