Doctor Name: | ESATEYS STUCHINER |
NPI Number: | 1578955910 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | RN00104900 |
Business Practice Address: | 19410 Ne 116th St Brush Prairie, WA - 986063002 |
Business Phone Number: | 5038661927 |
Business Fax Number: | |
Mailing Address: | 19410 Ne 116th St, BRUSH PRAIRIE |
State: | WA |
Postal Code: | 986063002 |
Phone Number: | 5038661927 |
Fax Number: | |
NPI Enumeration Date: | 02/23/2015 |
NPI Last Update Date: | 02/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | RN00104900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |