| Doctor Name: | MS. STEPHANIE RENEE BLUM |
| NPI Number: | 1104092857 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | AP60071587 |
| Business Practice Address: | 8824 96th St Nw Gig Harbor, WA - 983326303 |
| Business Phone Number: | 3606007269 |
| Business Fax Number: | |
| Mailing Address: | 8824 96th St Nw, GIG HARBOR |
| State: | WA |
| Postal Code: | 983326303 |
| Phone Number: | 3606007269 |
| Fax Number: | |
| NPI Enumeration Date: | 05/02/2008 |
| NPI Last Update Date: | 08/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | AP60071587 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |