Individual
MS. CAROLINE MARIE STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPAS, ATC
Contact information
Practice address
16528 E DESMET CT STE B2200, SPOKANE VALLEY, WA 99216-3522
(509) 944-8920
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
(208) 457-4197
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
PA-2010
ID
363A00000X
Physician Assistant
PA61116968
WA
363A00000X
Physician Assistant
—
ID
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
PA-2010
ID
363AS0400X
Surgical Physician Assistant
PA-2010
ID
363AS0400X
Surgical Physician Assistant
Primary
PA61116968
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902293756
—
ID
Enumeration date
04/20/2015
Last updated
01/03/2024
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