Healthcare Provider Details

I. General information

NPI: 1295467884
Provider Name (Legal Business Name): MEGAN STIMPSON PCNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2022
Last Update Date: 06/30/2022
Certification Date: 06/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 SAND POINT WAY NE
SEATTLE WA
98105-3901
US

IV. Provider business mailing address

16741 8TH AVE NE
SHORELINE WA
98155-5013
US

V. Phone/Fax

Practice location:
  • Phone: 206-987-9976
  • Fax:
Mailing address:
  • Phone: 206-987-9976
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberAP60666115
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: