Shannon Eloise Bolt
ARNP | Nurse Practitioner
4209 Tieton Dr, Yakima
Washington, 98908-3377
509-654-9810
Shannon Eloise Bolt is a Yakima, Washington based nurse practitioner who is specialized as Nurse Practitioner nurse. Active license number of Shannon Eloise Bolt is AP61369683 for Family in Washington. Her current practice location is 4209 Tieton Dr, Yakima. Patients can reach her at 509-654-9810 or can fax her at 509-966-8812. Shannon Eloise Bolt is ARNP with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1083006522.
Shannon Eloise Bolt has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Shannon Eloise Bolt speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Shannon Eloise Bolt |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | ARNP |
| Practice Address: | 4209 Tieton Dr, Yakima,
Washington, 98908-3377 |
| Phone: | 509-654-9810 |
| Fax: | 509-966-8812 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1083006522 |
| NPI Enumeration Date: | 20 Feb, 2015 |
| NPI Last Update On: | 21 Nov, 2022 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shannon Eloise Bolt are as mentioned below.
| License Number | Specialization | State | Status | |
| AP61369683 | Family | Washington | Primary | |
| RN60528267 | Registered Nurse | Washington | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Shannon Eloise Bolt such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| AP61369683 | Other | Washington | WASHINGTON STATE DEPARTMENT OF HEALTH |
| RN60528267 | Other | Washington | WASHINGTON STATE DEPARTMENT OF HEALTH |
| F10220605 | Other | | AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Shannon Eloise Bolt
4209 Tieton Dr,
Yakima, Washington |
| Zip: | 98908-3377 |
| Phone Number: | 509-654-9810 |
| Fax Number: | 509-966-8812 |
Patients can reach Shannon Eloise Bolt at
4209 Tieton Dr, Yakima, Washington or can
call to book an appointment on 509-654-9810.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.