Individual
ANGELA S RIDEOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
1321 COLBY AVE, MEDICAL STAFF OFFICE, EVERETT, WA 98201-1665
(425) 261-2000
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 366-2983
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP30006959
WA
363L00000X
Nurse Practitioner
RN00156414
WA
363LA2100X
Acute Care Nurse Practitioner
Primary
AP30006959
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1092699
—
WA
05
—
9648007
—
WA
Enumeration date
02/12/2007
Last updated
07/10/2025
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