# WAYSHOWER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093434193
- **Authorized official:** STEPHANIE ANN PETERSON PMHNP-BC (SOLE MEMBER LLC OWNER)
- **Authorized official phone:** (530) 262-7025

## Contact information

- **Practice address:** 21449 ROUGHOUT RD, REDDING, CA 96003-8209
- **Practice address phone:** (530) 262-7025
- **Practice address fax:** (949) 553-3834
- **Mailing address:** 16590 HEITMAN RD, COTTONWOOD, CA 96022-8004
- **Mailing address phone:** (530) 262-7025
- **Mailing address fax:** (949) 553-3834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/23/2022
- **Last updated:** 08/23/2022