Healthcare Provider Details

I. General information

NPI: 1447165535
Provider Name (Legal Business Name): STOVER HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

183-13 SENN RD
CHEHALIS WA
98532-0410
US

IV. Provider business mailing address

183-13 SENN RD
CHEHALIS WA
98532-0410
US

V. Phone/Fax

Practice location:
  • Phone: 360-219-3911
  • Fax:
Mailing address:
  • Phone: 360-219-3911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE STOVER
Title or Position: OWNER
Credential: ARNP
Phone: 360-219-3911