Individual
MS. STEPHANIE RENEE BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8824 96TH ST NW, GIG HARBOR, WA 98332-6303
(360) 600-7269
Mailing address
8824 96TH ST NW, GIG HARBOR, WA 98332-6303
(360) 600-7269
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP60071587
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8507568
DSHS
WA
01
—
8871633
MEDICARE
WA
01
—
G8917373
MEDICARE PTAN
WA
Enumeration date
05/02/2008
Last updated
08/13/2013
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