Individual
SHANTELLE ALICIA STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3900 S ZINTEL WAY STE 110, KENNEWICK, WA 99337-5092
(509) 942-3125
(509) 585-8173
Mailing address
550 GAGE BLVD STE 101, RICHLAND, WA 99352-9532
(509) 473-0637
(509) 627-2983
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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