Healthcare Provider Details

I. General information

NPI: 1578225405
Provider Name (Legal Business Name): HEATHER RHODES DNP, ARNP, AGCNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER RHODES COBDEN DNP, ARNP, AGCNS-BC

II. Dates (important events)

Enumeration Date: 10/07/2021
Last Update Date: 10/07/2021
Certification Date: 10/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 PIKE ST STE 1900
SEATTLE WA
98101-3932
US

IV. Provider business mailing address

1235 SW 132ND LN APT 931
BURIEN WA
98146-4017
US

V. Phone/Fax

Practice location:
  • Phone: 206-614-1113
  • Fax: 206-614-1175
Mailing address:
  • Phone: 802-343-3702
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberAP61037323
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN00127991
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: