Individual
RICHARD JOHN DEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1501 PACIFIC AVE, STE 210, TACOMA, WA 98402-3302
(253) 680-6000
Mailing address
1501 PACIFIC AVE, STE 210, TACOMA, WA 98402-3302
(253) 680-6000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60408381
WA
363LF0000X
Family Nurse Practitioner
AP60408381
WA
363LP2300X
Primary Care Nurse Practitioner
AP60408381
WA
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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