Individual
STACEY MICHELLE DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., R.N.F.A.
Contact information
Practice address
12040 NE 128TH ST, KIRKLAND, WA 98034-3013
(425) 899-1000
Mailing address
12040 NE 128TH ST, KIRKLAND, WA 98034-3013
(425) 899-1000
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN00156189
WA
Other
Enumeration date
12/31/2015
Last updated
06/28/2022
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