Individual
PAMALLA ANN STOCKHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5700 100TH ST SW, LAKEWOOD, WA 98499-2752
(253) 584-2119
Mailing address
5700 100TH ST SW, LAKEWOOD, WA 98499-2752
(253) 584-2119
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60270264
WA
363LA2200X
Adult Health Nurse Practitioner
AP60270264
WA
363LC1500X
Community Health Nurse Practitioner
AP60270264
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60270264
WA
Other
Enumeration date
08/24/2010
Last updated
01/24/2014
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