Individual
ASHLEY RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10414 BEARDSLEE BLVD STE 100, BOTHELL, WA 98011-3205
(425) 486-0658
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 277-1311
(425) 277-1566
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
764600
TX
163W00000X
Registered Nurse
RN61054213
WA
363L00000X
Nurse Practitioner
Primary
AP61054363
WA
363LF0000X
Family Nurse Practitioner
AP137621
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3861312-01
—
TX
Enumeration date
09/29/2015
Last updated
01/16/2025
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