Individual
DENISE LEE RADDATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP, AGNP-C
Contact information
Practice address
3700 PACIFIC HWY E STE 100, FIFE, WA 98424-1160
(253) 382-6300
(253) 382-6301
Mailing address
2006 186TH STREET CT E, SPANAWAY, WA 98387-5168
(931) 614-8824
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AG07240176
WA
Other
Enumeration date
08/20/2024
Last updated
11/04/2024
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