Healthcare Provider Details

I. General information

NPI: 1336043892
Provider Name (Legal Business Name): MINGZHU YE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3815 S OTHELLO ST
SEATTLE WA
98118-3510
US

IV. Provider business mailing address

3815 S OTHELLO ST
SEATTLE WA
98118-3510
US

V. Phone/Fax

Practice location:
  • Phone: 206-788-3521
  • Fax: 206-788-3521
Mailing address:
  • Phone: 206-788-3521
  • Fax: 206-788-3521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License NumberRN.RN.70171675.MSL
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberRN.RN.70171675.MSL
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: