Individual
STEPHANIE CROOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1116 SUMMIT AVE, SEATTLE, WA 98101-2831
(206) 323-0930
Mailing address
1116 SUMMIT AVE, SEATTLE, WA 98101-2831
(206) 323-0930
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN00175926
WA
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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