Individual
MRS. STACEY ANN DESCHAMPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
602 N COLORADO ST, SUITE D, KENNEWICK, WA 99336-7825
(509) 735-8600
(509) 783-7354
Mailing address
550 GAGE BLVD, STE 101, RICHLAND, WA 99352-9532
(509) 942-3627
(509) 627-2983
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60489248
WA
363LA2100X
Acute Care Nurse Practitioner
201401374NP-PP
OR
363LA2100X
Acute Care Nurse Practitioner
53-76253-092
KS
363LA2100X
Acute Care Nurse Practitioner
AP 60489248
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013325968
—
WA
Enumeration date
07/23/2014
Last updated
03/01/2021
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