Criddle, Rachel Lee
Criddle, Rachel Lee is an individual health care provider with primary practice located at 9230 Sky Island Dr E , Bonney Lake WA 98391-7385. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Criddle, Rachel Lee can be contacted via phone (253) 750-6000.Contact Information
Primary practice address
9230 Sky Island Dr E
Bonney Lake WA 98391-7385
Phone: (253) 750-6000
Fax: (253) 750-6100
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP60236571 | Washington |
Profile Details
NPI number | 1033407804 |
---|---|
LBN Legal business name | Criddle, Rachel Lee |
Credentials | MSN, NP-C, ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 14th, 2011 |
Last updated | Jun 2nd, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033407804 | NPPES |
Washington | Other | 0297217 | L&I |
Washington | Other | 0297213 | L&I |
Washington | Other | G8910673 | L&I |
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