Healthcare Provider Details

I. General information

NPI: 1265273106
Provider Name (Legal Business Name): STEPHANIE NICOLE VOSS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2024
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

835 SE BISHOP BLVD
PULLMAN WA
99163-5512
US

IV. Provider business mailing address

795 SE BISHOP BLVD
PULLMAN WA
99163-6071
US

V. Phone/Fax

Practice location:
  • Phone: 509-336-7300
  • Fax:
Mailing address:
  • Phone: 509-336-7609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number57307
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP61572185
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: