Individual
STACEY ANNE KOEHLER-WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
2811 NE 139TH ST, VANCOUVER, WA 98686-2724
(360) 882-2778
(360) 604-1767
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-4896
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP60877565
WA
Other
Enumeration date
08/14/2018
Last updated
10/23/2018
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