Provider Demographics
NPI:1558353888
Name:STOKLEY, NANCY LOUISE (ARNP, RN, MN)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:LOUISE
Last Name:STOKLEY
Suffix:
Gender:F
Credentials:ARNP, RN, MN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2717 60TH AVE SW
Mailing Address - Street 2:UNIT C
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-4730
Mailing Address - Country:US
Mailing Address - Phone:206-725-1739
Mailing Address - Fax:206-725-2442
Practice Address - Street 1:2717 60TH AVE SW
Practice Address - Street 2:UNIT C
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-4730
Practice Address - Country:US
Practice Address - Phone:206-725-1739
Practice Address - Fax:206-725-2442
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30003187363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9615048Medicaid
WA9609892Medicaid
WA9615048Medicaid