Individual
MS. PATRICIA R RANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30004047
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922030170
—
WA
01
—
500027712
RAILROAD MC # VM
WA
01
—
6374RA
BLUE SHIELD # VM
WA
01
—
G8874144
MEDICARE NUMBER FOR LYNNWOOD LOCATION
WA
Enumeration date
07/07/2006
Last updated
03/26/2015
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