Aggabao, Stacey L

Aggabao, Stacey L is an individual health care provider with primary practice located at 835 Se Bishop Blvd , Pullman WA 99163-5512. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Aggabao, Stacey L can be contacted via phone (509) 336-7300.

Contact Information

Primary practice address
835 Se Bishop Blvd Pullman WA 99163-5512
Phone: (509) 336-7300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN00130744 Washington

Profile Details

NPI number 1578800702
LBN Legal business name Aggabao, Stacey L
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2013
Last updated Jan 8th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578800702 NPPES
Washington Other 0257917 LABOR & INDUSTRIES

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