Individual
JAIME D. RUDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-2675
Mailing address
PO BOX 24366, SEATTLE, WA 98124-0366
(206) 598-0502
(206) 598-0516
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00129892
WA
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
AP300006728
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0208340
LABOR & INDUSTRIES
WA
01
—
09779U
REGENCE BLUESHIELD
WA
05
—
9641564
—
WA
Enumeration date
07/06/2006
Last updated
02/04/2009
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