Individual
STACEY LYNN KLONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MN, ARNP
Contact information
Practice address
4800 SAND POINT WAY NE, M/S 103 CCMS, SEATTLE, WA 98105-3901
(206) 987-6700
Mailing address
4800 SAND POINT WAY NE, M/S 103 CCMS, SEATTLE, WA 98105-3901
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP60302031
WA
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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