Individual
MS. CONNIE PAULINE REANDEAU
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
9442 FAGAN CT NE, LACEY, WA 98516-6600
(360) 561-8043
Mailing address
9442 FAGAN CT NE, LACEY, WA 98516-6600
(360) 561-8043
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00074574
WA
363LW0102X
Women's Health Nurse Practitioner
AP30003542
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9613878
—
WA
Enumeration date
06/07/2006
Last updated
09/11/2025
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