Individual
MS. STEPHANIE ANN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC, BCIAC
Contact information
Practice address
8523 224TH ST SW, EDMONDS, WA 98026-8253
(425) 672-1676
(425) 672-1676
Mailing address
8523 224TH ST SW, EDMONDS, WA 98026-8253
(425) 778-8073
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
RN00095884
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0049143
L&I
WA
01
—
155775201629
PREMERA BLUE CROSS
WA
01
—
841220
DSHS
WA
Enumeration date
04/11/2007
Last updated
07/08/2007
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