Individual provider · Type 1 NPI
Jennifer Marie Stoudt, LMP
Specialist · Renton, WA
NPI number
1841589587
Active
Practice location
318 Garden Ave N
Renton, WA 98057-5729
Mailing address
1611 116th Ave NE Ste 200
Bellevue, WA 98004-3064
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA60197769 (WA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1841589587
Jennifer Marie Stoudt, LMP's National Provider Identifier is 1841589587, issued on Apr 4, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Renton, WA. The record was last updated on Aug 15, 2012.