Individual provider · Type 1 NPI

Stacey Lynn Klontz, MN, ARNP

Pediatric Nurse Practitioner · Seattle, WA

NPI number 1629328000 Active

Practice location

4800 Sand Point Way NE, M/s 103 Ccms
Seattle, WA 98105-3901

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	AP60302031 (WA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1629328000

Stacey Lynn Klontz, MN, ARNP's National Provider Identifier is 1629328000, issued on Sep 13, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Seattle, WA. The record was last updated on Sep 13, 2012.