Individual
MRS. BRENDA M STOUDT
Active
Individual
MRS. BRENDA M STOUDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
30007859
WA
363LP2300X
Primary Care Nurse Practitioner
Primary
AP30007859
WA
Other
Enumeration date
06/19/2008
Last updated
01/24/2024
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