Blum, Stephanie Renee
Blum, Stephanie Renee is an sole proprietor health care provider with primary practice located at 8824 96Th St Nw , Gig Harbor WA 98332-6303. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Blum, Stephanie Renee can be contacted via phone (360) 600-7269.Contact Information
Primary practice address
8824 96Th St Nw
Gig Harbor WA 98332-6303
Phone: (360) 600-7269
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | AP60071587 | Washington |
Profile Details
| NPI number | 1104092857 |
|---|---|
| LBN Legal business name | Blum, Stephanie Renee |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 2nd, 2008 |
| Last updated | Aug 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104092857 | NPPES |
| Washington | Other | G8917373 | MEDICARE PTAN |
| Washington | Other | 8507568 | MEDICARE PTAN |
| Washington | Other | 8871633 | MEDICARE PTAN |
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