STACI H SWAN

BELLEVUE, WA
NPI1235562711
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: WA  AP60408810)
Enumeration Date2013-08-19
Last Update Date2024-08-07
Business Address
STACI H SWAN
1600 116TH AVE NE STE 304
BELLEVUE, WA 98004-3057
Phone number: 225-715-5242
Mailing Address
STACI H SWAN
3509 184TH PL SE
BOTHELL, WA 98012-8846
Phone number: 225-715-5242