Individual
MICHELLE STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1800 COOKS HILL RD STE G, CENTRALIA, WA 98531-9162
(360) 736-3042
(360) 736-2967
Mailing address
2690 NE KRESKY AVE, CHEHALIS, WA 98532-2412
(360) 330-9595
(360) 330-9560
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60436152
WA
363L00000X
Nurse Practitioner
AP61074467
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61074467
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2161731
—
WA
Enumeration date
02/29/2020
Last updated
08/07/2024
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