Organization
PRIDEAUX-BLODGETT LLC
Active
Other names
Pacific Northwest Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY BLODGETT ARNP (NP)
(253) 473-7637
Entity
Organization
Contact information
Practice address
1818 S UNION AVE, SUITE 2A, TACOMA, WA 98405-1953
(253) 473-7637
(253) 671-8472
Mailing address
1818 S UNION AVE, SUITE 2A, TACOMA, WA 98405-1953
(253) 473-7637
(253) 671-8472
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30003968
WA
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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