Individual provider · Type 1 NPI

Stephanie P. Whitlock, NP

Gerontology Nurse Practitioner · Clarkston, WA

NPI number 1336973908 Active

Practice location

1119 Highland Ave Ste 10
Clarkston, WA 99403-2836

Mailing address

3814 13th Street D
Lewiston, ID 83501-5704

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XAP61601853 (WA)

Gerontology Nurse Practitioner: Definition to come...

Another provider at this address

About NPI 1336973908

Stephanie P. Whitlock, NP's National Provider Identifier is 1336973908, issued on Aug 27, 2024. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Clarkston, WA. The record was last updated on Aug 27, 2024.