Healthcare Provider Details
I. General information
NPI: 1326901083
Provider Name (Legal Business Name): RIAN C. FREDERICK ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 12/08/2025
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
780 SWIFT BLVD STE 101
RICHLAND WA
99352-3545
US
IV. Provider business mailing address
780 SWIFT BLVD STE 11
RICHLAND WA
99352-3524
US
V. Phone/Fax
- Phone: 509-942-3060
- Fax: 509-942-2297
- Phone: 509-942-3060
- Fax: 509-942-2297
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | 117376274405 |
| License Number State | UT |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | AP.70138945 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: