Provider Demographics
NPI:1871748277
Name:MEENACH-LIGRANO, RACHELLE MARIE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:RACHELLE
Middle Name:MARIE
Last Name:MEENACH-LIGRANO
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28815 VASHON HWY SW
Mailing Address - Street 2:
Mailing Address - City:VASHON
Mailing Address - State:WA
Mailing Address - Zip Code:98070-8805
Mailing Address - Country:US
Mailing Address - Phone:206-463-3145
Mailing Address - Fax:
Practice Address - Street 1:28815 VASHON HWY SW
Practice Address - Street 2:
Practice Address - City:VASHON
Practice Address - State:WA
Practice Address - Zip Code:98070-8805
Practice Address - Country:US
Practice Address - Phone:206-463-3145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-26
Last Update Date:2009-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30005622363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily