MEDICARE: STEPHANIE NICOLE VOSS NP

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	57307	ID
2	363L00000X	Nurse Practitioner	AP61572185	WA

General Provider Information

NPI Number	:	1265273106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE NICOLE VOSS NP

Provider Business Mailing Address
First Line	:	795 SE BISHOP BLVD
Second Line	:
City	:	PULLMAN
State	:	WA
Zip	:	99163-6071
Country	:	US
Telephone Number	:	509-336-7609
Fax Number	:

Provider Business Practice Location Address
First Line	:	835 SE BISHOP BLVD
Second Line	:
City	:	PULLMAN
State	:	WA
Zip	:	99163-5512
Country	:	US
Telephone Number	:	509-336-7300
Fax Number	:

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

Provider Enumeration Date	:	06/04/2024
Last Update Date	:	04/30/2026

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