Doctor Name: | JOAN STIGGELBOUT |
NPI Number: | 1770530305 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | AP30000776 |
Business Practice Address: | 603 3rd Ave Se Pacific, WA - 980471431 |
Business Phone Number: | 2533510450 |
Business Fax Number: | |
Mailing Address: | Po Box 40, PUYALLUP |
State: | WA |
Postal Code: | 983710137 |
Phone Number: | 2536975502 |
Fax Number: | 2536975510 |
NPI Enumeration Date: | 05/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | AP30000776 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |