Provider Demographics
NPI:1033407804
Name:CRIDDLE, RACHEL L (DNP, FNP)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:L
Last Name:CRIDDLE
Suffix:
Gender:
Credentials:DNP, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7901 SKANSIE AVE STE 145
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-8349
Mailing Address - Country:US
Mailing Address - Phone:253-303-2328
Mailing Address - Fax:888-440-3239
Practice Address - Street 1:7901 SKANSIE AVE STE 1457901
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-8349
Practice Address - Country:US
Practice Address - Phone:253-303-2328
Practice Address - Fax:888-440-3239
Is Sole Proprietor?:No
Enumeration Date:2011-07-14
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60236571363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA301497OtherL&I
WA0297213OtherL&I
WAG8910673OtherMEDICARE
WAG8926727Medicare PIN