Individual
STACI BOTTLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, RNFA, CNOR
Contact information
Practice address
14712 134TH CT NE, WOODINVILLE, WA 98072-4615
(425) 327-7442
Mailing address
PO BOX 1968, MILTON, WA 98354-1968
(253) 922-5623
(253) 922-5009
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN00110231
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2034319
—
WA
Enumeration date
11/01/2013
Last updated
04/15/2014
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