Provider Demographics
NPI:1770801557
Name:RASEY, VALERIE A (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:A
Last Name:RASEY
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4622 CANTER ST
Mailing Address - Street 2:
Mailing Address - City:WEST RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99353-8781
Mailing Address - Country:US
Mailing Address - Phone:509-308-8806
Mailing Address - Fax:
Practice Address - Street 1:35 W 8TH AVE STE 442
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2361
Practice Address - Country:US
Practice Address - Phone:509-456-6556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-04
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60140897363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal