Stevens, Vicki Marie

Stevens, Vicki Marie is an individual health care provider with primary practice located at 1215 N Mcdonald Rd Suite 101, Spokane Valley WA 99216-1557. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Stevens, Vicki Marie can be contacted via phone (509) 924-1950.

Contact Information

Primary practice address
1215 N Mcdonald Rd Suite 101 Spokane Valley WA 99216-1557
Phone: (509) 924-1950
Fax: (509) 921-0017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30005599 Washington

Profile Details

NPI number 1578654463
LBN Legal business name Stevens, Vicki Marie
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jan 12th, 2016 - about 8 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 1578654463 NPPES
Idaho Other 000010137756 REGENCE BLUE SHIELD
Idaho MEDICAID 9638883 REGENCE BLUE SHIELD
Idaho MEDICAID 806695700 REGENCE BLUE SHIELD
Idaho Other 0161234 REGENCE BLUE SHIELD
Idaho Other 500020906 REGENCE BLUE SHIELD

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