Individual
AMANDA RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
118 NW 188TH ST, SHORELINE, WA 98177-3033
(847) 347-6419
Mailing address
118 NW 188TH ST, SHORELINE, WA 98177-3033
(847) 347-6419
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
60404026
WA
Other
Enumeration date
11/24/2013
Last updated
10/07/2020
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