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STEPHANY DAWN WIMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
3124 S 19TH ST STE 240, TACOMA, WA 98405-2433
(253) 792-6111
(253) 459-6110
Mailing address
3124 S 19TH ST STE 240, TACOMA, WA 98405-2433
(253) 792-6111

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60859793
WA

Other

Enumeration date
05/30/2018
Last updated
05/30/2018
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