Individual
STEPHANIE L ESBENSHADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
314 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4250
(253) 403-7140
Mailing address
314 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4250
(253) 403-7140
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60403586
WA
363LA2200X
Adult Health Nurse Practitioner
AP60403586
WA
363LF0000X
Family Nurse Practitioner
AP60403586
WA
363LP2300X
Primary Care Nurse Practitioner
AP60403586
WA
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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