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Organization
RIVERSIDE HEALTH CENTER, LLC
Active
Organization
RIVERSIDE HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY R STUBBLEFIELD CNM/ARNP (OWNER)
(509) 421-5077
Entity
Organization
Contact information
Practice address
819 N MILLER ST, SUITE 1B, WENATCHEE, WA 98801-6604
(509) 888-1924
(509) 888-2238
Mailing address
819 N MILLER ST, SUITE 1B, WENATCHEE, WA 98801-6604
(509) 888-1924
(509) 888-2238
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
—
WA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
WA
367A00000X
Advanced Practice Midwife
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4322ST
ASURIS NW HEALTH
WA
01
—
4444890
CIGNA
WA
01
—
7532701
AETNA
—
05
—
9656919
—
WA
Enumeration date
04/23/2008
Last updated
08/14/2015
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