Individual
TERESA J. LEDRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
125 16TH AVE E, CSB-4, SEATTLE, WA 98112-5211
(206) 326-3530
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30006411
WA
363LF0000X
Family Nurse Practitioner
RN00050630
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9646480
—
WA
Enumeration date
01/17/2007
Last updated
07/27/2007
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