Provider Demographics
NPI:1760666721
Name:DUNCAN, RITA MARIE (RN NTP LMP)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:MARIE
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:RN NTP LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3948 SW 336TH PL
Mailing Address - Street 2:#200
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98023
Mailing Address - Country:US
Mailing Address - Phone:253-973-0338
Mailing Address - Fax:253-269-0190
Practice Address - Street 1:3948 SW 336TH PL # 200
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98023-2969
Practice Address - Country:US
Practice Address - Phone:253-973-0338
Practice Address - Fax:253-269-0190
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-26
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00022884174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist