Stevens, Tricia Ginger

Stevens, Tricia Ginger is an individual health care provider with primary practice located at 1550 S Pioneer Way , Moses Lake WA 98837-4613. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Stevens, Tricia Ginger can be contacted via phone (509) 793-9784.

Contact Information

Primary practice address
1550 S Pioneer Way Moses Lake WA 98837-4613
Fax: (509) 764-3280
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024182880 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP61235987 Washington

Profile Details

NPI number 1750043584
LBN Legal business name Stevens, Tricia Ginger
Credentials DNP, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2021
Last updated Feb 17th, 2022 - about 2 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 1750043584 NPPES
Washington MEDICAID 2195336

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