Prideaux Blodgett, Becky Jean
Prideaux Blodgett, Becky Jean is an sole proprietor health care provider with primary practice located at 7808 Pacific Ave Ste 3 , Tacoma WA 98408-7039. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Prideaux Blodgett, Becky Jean can be contacted via phone (253) 503-6178.Contact Information
Primary practice address
7808 Pacific Ave Ste 3
Tacoma WA 98408-7039
Phone: (253) 503-6178
Fax: (253) 240-0587
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN00089325 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP30003968 | Washington |
Profile Details
| NPI number | 1942274204 |
|---|---|
| LBN Legal business name | Prideaux Blodgett, Becky Jean |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Jul 18th, 2019 - about 5 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 | 1942274204 | NPPES |
| Washington | Other | AP30003968 | LICENSE |
| Washington | Other | RN00089325 | LICENSE |
| Washington | Other | CO3401 | LICENSE |
| Washington | Other | 500004687 | LICENSE |
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