| NPI | 1942637251 |
|---|---|
| Former Name | STEPHANIE RENEE LEDOUX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60403586) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: WA AP60403586) |
| 363LF0000X Nurse Practitioner Family (Licence: WA AP60403586) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: WA AP60403586) | |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2013-10-01 |