Individual
NANCY GRAY STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
UWMC-ROOSEVELT, 4245 ROOSEVELT WAY NE, SEATTLE, WA 98105-4770
(206) 598-4055
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00020212
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0231975
L&I
WA
05
—
1740360726
—
WA
01
—
5827
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/16/2006
Last updated
02/07/2012
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