DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KERRI RUDDELL, NP

Active Sole Proprietor

KERRI RUDDELL, NP is a Family Nurse Practitioner healthcare provider located in ODESSA, Washington. NPI 1174183578 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · ODESSA, WA

Registration Details

NPI Number
1174183578
Provider Type
Individual
Gender
Female
NPI Issued
Jun 18, 2019 (7.133340682973 yrs)
Last Updated
Sep 23, 2025
Licenses
61858 (ID)
AP61469089 (WA)
NP61858 (ID)
Sole Proprietor
Yes

Practice Information

Address
502 E AMENDE DR
ODESSA, WA, 991597003
Browse WA providers · Browse ZIP 99159
Phone
5099822611
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in ODESSA, WA

Name Credential NPI
VIOLET FRANCES RICE FNP 1053315309
DEBORAH A FOGG NP 1558600015
DANIEL GLAZE ARNP 1740891829
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.