| Doctor Name: | RACHEL LEE CRIDDLE |
| NPI Number: | 1033407804 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, NP-C, ARNP |
| License Number: | AP60236571 |
| Business Practice Address: | 9230 Sky Island Dr E Bonney Lake, WA - 983917385 |
| Business Phone Number: | 2537506000 |
| Business Fax Number: | 2537506100 |
| Mailing Address: | 9230 Sky Island Dr E, BONNEY LAKE |
| State: | WA |
| Postal Code: | 983917385 |
| Phone Number: | 2537506000 |
| Fax Number: | 2537506100 |
| NPI Enumeration Date: | 07/14/2011 |
| NPI Last Update Date: | 06/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP60236571 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |