Individual
JAMES PATRICK RONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
9951 MICKELBERRY RD NW STE 101, SILVERDALE, WA 98383-8309
(360) 692-9362
Mailing address
1582 GULF RD UNIT 1309, POINT ROBERTS, WA 98281-8059
(503) 449-0293
(503) 449-0293
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60076323
WA
363LP0200X
Pediatric Nurse Practitioner
088006164N2 PNP-PP
OR
363LP0200X
Pediatric Nurse Practitioner
RN091542 182
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881792455
—
WA
01
—
263676
LABOR & INDUSTRIES
WA
01
—
292795
OMAP
OR
01
—
373481
AHCCCS
AZ
Enumeration date
09/20/2006
Last updated
03/17/2018
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