Healthcare Provider Details

I. General information

NPI: 1225963226
Provider Name (Legal Business Name): NATALIE STEVENS LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NATALIE FASSETT

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10410 E 9TH AVE
SPOKANE VALLEY WA
99206-3510
US

IV. Provider business mailing address

525 N MICHIGAN RD APT A108
SPOKANE VALLEY WA
99016-5455
US

V. Phone/Fax

Practice location:
  • Phone: 509-218-4953
  • Fax:
Mailing address:
  • Phone: 509-218-4953
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberLPN.LP.61535761.MSL
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: