Healthcare Provider Details

I. General information

NPI: 1013153873
Provider Name (Legal Business Name): LINDA MAE RETHKE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2008
Last Update Date: 12/14/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3020 RUCKER AVE
EVERETT WA
98201-3900
US

IV. Provider business mailing address

3020 RUCKER AVE
EVERETT WA
98201-3900
US

V. Phone/Fax

Practice location:
  • Phone: 425-339-8666
  • Fax: 425-339-5255
Mailing address:
  • Phone: 425-339-8666
  • Fax: 425-339-5255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number00040828
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: