Provider Demographics
NPI:1568974186
Name:STINSON, ADRIAN ELAINE
Entity Type:Individual
Prefix:
First Name:ADRIAN
Middle Name:ELAINE
Last Name:STINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 PIONEER AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:CASHMERE
Mailing Address - State:WA
Mailing Address - Zip Code:98815-1275
Mailing Address - Country:US
Mailing Address - Phone:509-387-0081
Mailing Address - Fax:
Practice Address - Street 1:1701 ORCHARD AVE
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-4702
Practice Address - Country:US
Practice Address - Phone:509-662-9456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-05
Last Update Date:2017-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide