Provider Demographics
NPI:1033587944
Name:RN SUNRISE OPERATIONS LLC
Entity type:Organization
Organization Name:RN SUNRISE OPERATIONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCARLETT
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMEY
Authorized Official - Suffix:
Authorized Official - Credentials:RD, CD
Authorized Official - Phone:206-909-8022
Mailing Address - Street 1:4241 11TH AVE NE STE B
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-4674
Mailing Address - Country:US
Mailing Address - Phone:206-909-8022
Mailing Address - Fax:206-909-8022
Practice Address - Street 1:11102 SUNRISE BLVD E
Practice Address - Street 2:SUITE 102
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98374-8846
Practice Address - Country:US
Practice Address - Phone:206-909-8022
Practice Address - Fax:206-909-8022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-09
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADI00001838133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty