Provider Demographics
NPI:1841224441
Name:EMMAL, STEPHANIE (MSN)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:EMMAL
Suffix:
Gender:F
Credentials:MSN
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:
Other - Last Name:EMMAL PFLEIGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1340 M ST SE
Mailing Address - Street 2:SUITE A
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-6755
Mailing Address - Country:US
Mailing Address - Phone:206-439-4880
Mailing Address - Fax:
Practice Address - Street 1:1340 M ST SE
Practice Address - Street 2:SUITE A
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-6755
Practice Address - Country:US
Practice Address - Phone:253-735-2777
Practice Address - Fax:253-735-4153
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2024-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30007144363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAQ59921Medicare UPIN