Individual
KATHLEEN MARIE STIDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
520 N 4TH AVE, PASCO, WA 99301-5257
(509) 546-2231
(509) 543-2488
Mailing address
520 N 4TH AVE, PASCO, WA 99301-5257
(509) 546-2231
(509) 543-2488
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30007315
WA
Other
Enumeration date
06/13/2008
Last updated
06/13/2008
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