Individual
TRACY L. STACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
235 E ROWAN AVE, SUITE 102, SPOKANE, WA 99207-1240
(509) 489-2101
Mailing address
1911 E 39TH AVE, SPOKANE, WA 99203-4137
(360) 531-1051
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60454198
WA
Other
Enumeration date
03/14/2014
Last updated
04/26/2017
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