Organization
VILLAGE PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACI SCOTT ARNP (PEDIATRIC NURSE PRACTITIONER)
(814) 387-8224
Entity
Organization
Contact information
Practice address
317 NW GILMAN BLVD STE 48, ISSAQUAH, WA 98027-2485
(425) 996-3396
(425) 996-0231
Mailing address
1975 25TH AVE NE, ISSAQUAH, WA 98029-7737
(814) 387-8224
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
AP60081924
WA
Other
Enumeration date
06/05/2013
Last updated
06/05/2013
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