Individual
STEPHEN THOMAS IRVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(065) 205-0002
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61251740
WA
363LF0000X
Family Nurse Practitioner
AP61251740
WA
Other
Enumeration date
05/16/2022
Last updated
10/20/2022
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