Individual
MS. THERESA MARY RALEIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
990 SYLVAN WAY, BREMERTON, WA 98310-2851
(206) 744-3059
Mailing address
990 SYLVAN WAY, BREMERTON, WA 98310-2851
(360) 479-3657
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60077003
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0294855
L&I
WA
05
—
1417199324
—
WA
Enumeration date
03/24/2009
Last updated
06/09/2015
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