Healthcare Provider Details
I. General information
NPI: 1548480619
Provider Name (Legal Business Name): DANA MICHELE RHULE-LOUIE M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/30/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
BELLEVUE HOSPITAL, FIRST AVENUE AND 27TH STREET 20 SOUTH 17
NEW YORK NY
10016
US
IV. Provider business mailing address
2000 1ST AVE #801
SEATTLE WA
98121-2165
US
V. Phone/Fax
- Phone: 212-562-3296
- Fax:
- Phone: 206-441-6647
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: