Individual
SHANTELLE ALICIA STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN60850819
WA
363LP0200X
Pediatric Nurse Practitioner
Primary
AP61538886
WA
Other
Enumeration date
10/24/2022
Last updated
10/30/2024
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