Provider Demographics
NPI:1609527050
Name:STENKAMP, MARIA CANO (RN)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:CANO
Last Name:STENKAMP
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:291 WESTBOURNE LOOP
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:WA
Mailing Address - Zip Code:99323-9577
Mailing Address - Country:US
Mailing Address - Phone:509-392-9639
Mailing Address - Fax:
Practice Address - Street 1:291 WESTBOURNE LOOP
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:WA
Practice Address - Zip Code:99323-9577
Practice Address - Country:US
Practice Address - Phone:509-392-9639
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-17
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID70266163W00000X
WARN00119228163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse