MEDICARE: MS. NANCY LOUISE STOKLEY ARNP, RN, MN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	AP30003187	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558353888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NANCY LOUISE STOKLEY ARNP, RN, MN

Provider Business Mailing Address
First Line	:	2717 60TH AVE SW
Second Line	:	UNIT C
City	:	SEATTLE
State	:	WA
Zip	:	98116-4730
Country	:	US
Telephone Number	:	206-725-1739
Fax Number	:	206-725-2442

Provider Business Practice Location Address
First Line	:	2717 60TH AVE SW
Second Line	:	UNIT C
City	:	SEATTLE
State	:	WA
Zip	:	98116-4730
Country	:	US
Telephone Number	:	206-725-1739
Fax Number	:	206-725-2442

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	07/08/2007

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