Individual
PAULA DIANE RUEDEBUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, DNP
Contact information
Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 339-5422
(425) 339-5444
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 339-5422
(425) 339-5444
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60308792
WA
363LF0000X
Family Nurse Practitioner
AP60308792
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033342050
—
WA
Enumeration date
08/25/2009
Last updated
06/02/2021
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