Individual
ELAINE REDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 N CENTER PKWY, KENNEWICK, WA 99336-7160
(425) 486-4040
(509) 325-7666
Mailing address
10132 NE 185TH ST, BOTHELL, WA 98011-3434
(425) 486-4040
(509) 325-7666
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
RN0012255
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
095000382RN
OREGON BOARD OF NURSING
OR
01
—
26NR19617500
NEW JERSEY
NJ
01
—
RN0012255
WASHINGTON STATE BOARD OF HEALTH
WA
Enumeration date
10/01/2021
Last updated
10/01/2021
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