Individual
MS. STEPHANIE PEACE REZENDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
21911 76TH AVE W STE 211, EDMONDS, WA 98026-7918
(425) 775-6651
(425) 670-6718
Mailing address
21911 76TH AVE W STE 211, EDMONDS, WA 98026-7918
(425) 775-6651
(425) 670-6718
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60613322
WA
363AS0400X
Surgical Physician Assistant
Primary
PA60613322
WA
390200000X
Student in an Organized Health Care Education/Training Program
3902000X
ID
390200000X
Student in an Organized Health Care Education/Training Program
3902000X
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2055928
—
WA
Enumeration date
09/18/2014
Last updated
02/10/2026
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