Provider Demographics
NPI:1669249991
Name:SZENDRE, STEPHANE MARIE
Entity type:Individual
Prefix:
First Name:STEPHANE
Middle Name:MARIE
Last Name:SZENDRE
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 1:9507 BURNS RD
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99301-8922
Mailing Address - Country:US
Mailing Address - Phone:509-308-7887
Mailing Address - Fax:
Practice Address - Street 1:9507 BURNS RD
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-8922
Practice Address - Country:US
Practice Address - Phone:509-308-7887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN146102163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse