Individual
STACY LYNN MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
(253) 596-3301
Mailing address
3900 CAPITOL MALL DR SW, OLYMPIA, WA 98502-8654
(954) 838-2588
(954) 514-3979
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60270648
WA
Other
Enumeration date
04/12/2012
Last updated
04/12/2021
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