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NPI Code Detail

MEDICARE: SANDRA RITCHERSON RN

MEDICARE: SANDRA RITCHERSON RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WA0400XAddiction (Substance Use Disorder) Registered NurseRN292753GA
2163WC0400XCase Management Registered NurseRN292753GA
3163WC1500XCommunity Health Registered NurseRN292753GA
4163WD0400XDiabetes Educator Registered NurseRN292753GA
5163WM0705XMedical-Surgical Registered NurseRN292753GA
6163WP0809XAdult Psychiatric/Mental Health Registered NurseRN292753GA
7163W00000XRegistered NurseRN292753GA

General Provider Information

NPI Number : 1467307116
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA RITCHERSON RN
Provider Business Mailing Address
First Line : 17500 SE 392ND ST
Second Line :
City : AUBURN
State : WA
Zip : 98092-9705
Country : US
Telephone Number : 253-939-6648
Fax Number :
Provider Business Practice Location Address
First Line : 17500 SE 392ND ST
Second Line :
City : AUBURN
State : WA
Zip : 98092-9705
Country : US
Telephone Number : 253-939-6648
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2026
Last Update Date : 02/27/2026

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