# MRS. BECKY JEAN PRIDEAUX BLODGETT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1942274204
- **Gender:** F
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | AP30003968 | WA | Yes |
| 363L00000X | Nurse Practitioner | RN00089325 | WA | — |

## Other

- **Enumeration date:** 02/14/2006
- **Last updated:** 07/18/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 500004687 | MEDICARE OTHER-INDIVIDUAL | WA |
| 01 | — | AP30003968 | LICENSE | WA |
| 01 | — | CO3401 | MEDICARE OTHER-GROUP | WA |
| 01 | — | RN00089325 | LICENSE | WA |