Individual provider · Type 1 NPI

Stacey Anne Koehler-West, AGPCNP

Gerontology Nurse Practitioner · Vancouver, WA

NPI number 1922588532 Active

Practice location

2811 NE 139th St
Vancouver, WA 98686-2724

Fax (360) 604-1767

Mailing address

700 NE 87th Ave
Vancouver, WA 98664-4896

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XAP60877565 (WA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1922588532

Stacey Anne Koehler-West, AGPCNP's National Provider Identifier is 1922588532, issued on Aug 14, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Vancouver, WA. The record was last updated on Oct 23, 2018.