Individual
MS. STEPHANIE DAWN DOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
905 E D ST, DEER PARK, WA 99006-5167
(509) 276-5005
Mailing address
816 W FRANCIS AVE PMB 146, SPOKANE, WA 99205
(720) 202-9495
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
60084144
WA
363L00000X
Nurse Practitioner
61330046
WA
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP.AP.61330046
WA
Other
Enumeration date
08/01/2022
Last updated
02/11/2025
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