Individual
SALLY A. RAGSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
325 9TH AVE, BOX 359860, SEATTLE, WA 98104-2420
(206) 744-4191
(206) 744-8527
Mailing address
325 9TH AVE, BOX 359860, SEATTLE, WA 98104-2420
(206) 744-4191
(206) 744-8527
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP30006539
WA
363LA2200X
Adult Health Nurse Practitioner
Primary
AP30006539
WA
363LG0600X
Gerontology Nurse Practitioner
AP30006539
WA
363LW0102X
Women's Health Nurse Practitioner
AP30006539
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0197291
L&I PIN
WA
01
—
43115U
REGENCE BLUE SHIELD PIN
WA
05
—
9640921
—
WA
Enumeration date
07/06/2006
Last updated
03/19/2008
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