MS. STEPHANIE RENEE BLUM FNP NPI 1104092857

NPI Information

  • NPI: 1104092857
  • Provider Name: MS. STEPHANIE RENEE BLUM, FNP
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8824 96TH ST NW
    GIG HARBOR, WA
    ZIP 98332
  • Phone: (360) 600-7269

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NPI Details

MS. Stephanie Renee Blum, FNP is a primary care nurse practitioner in Gig Harbor, WA. MS. Stephanie Renee Blum, FNP NPI is 1104092857. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8824 96TH ST NW
GIG HARBOR, WA
ZIP 98332-303
Phone: (360) 600-7269

The NPI 1104092857 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 5/2/2008 and was last updated on 8/13/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary CareAP60071587WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11588775811MEDICARE UPINWASHINGTON
28871633OTHERWASHINGTONMEDICARE
38507568OTHERWASHINGTONDSHS
4G8917373OTHERWASHINGTONMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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