Individual
VICKI MARIE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1215 N MCDONALD RD, SUITE 101, SPOKANE VALLEY, WA 99216-1557
(509) 924-1950
(509) 921-0017
Mailing address
1215 N MCDONALD RD, SUITE 101, SPOKANE VALLEY, WA 99216-1557
(509) 924-1950
(509) 921-0017
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30005599
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010137756
REGENCE BLUE SHIELD
ID
01
—
0161234
L&I
WA
01
—
500020906
RAILROAD MEDICARE
—
05
—
806695700
—
ID
05
—
9638883
—
WA
Enumeration date
09/27/2006
Last updated
01/12/2016
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