| NPI | 1225657752 |
|---|---|
| Former Name | STACY GENE PHINNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: WA RN00131781) |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2024-03-28 |