Individual
STACI J WALNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3918 N SCHREIBER WAY, COEUR D ALENE, ID 83815-8395
(877) 522-1275
(833) 888-7145
Mailing address
500 SW 7TH ST STEA205, RENTON, WA 98057
(877) 522-1275
(833) 888-7145
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
61171
ID
Other
Enumeration date
04/23/2019
Last updated
02/27/2025
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