Individual
DIANE H. ROOT-RACINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
808 N 5TH AVE, SEQUIM, WA 98382-3045
(360) 683-5900
(360) 582-4800
Mailing address
808 N 5TH AVE, SEQUIM, WA 98382-3045
(360) 683-5900
(360) 582-4800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60004129
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101638
L&I DIANE ROOT-RACINE
WA
05
—
9615790
—
WA
01
—
RO9766
REGENCE DIANE ROOT-RACINE
WA
Enumeration date
05/19/2006
Last updated
11/02/2010
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