Individual
ANTJE STEPHANIE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
100 HIGHLINE DR, E WENATCHEE, WA 98802-5341
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60295856
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457606873
—
WA
01
—
P01764136
RR MEDICARE WVH
WA
Enumeration date
07/23/2012
Last updated
08/19/2022
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