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NPI Code Detail

MEDICARE: MS. RHONDA JO RAVANI ARNP

MEDICARE:  MS. RHONDA JO RAVANI  ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistAP30004254WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2121963OTHERWALABOR & INDUSTRIES

General Provider Information

NPI Number : 1154303667
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RHONDA JO RAVANI ARNP
Provider Business Mailing Address
First Line : 1135 116TH AVE NE
Second Line : #500
City : BELLEVUE
State : WA
Zip : 98004-4623
Country : US
Telephone Number : 425-454-3938
Fax Number : 425-454-2568
Provider Business Practice Location Address
First Line : 450 NW GILMAN BLVD
Second Line : #203
City : ISSAQUAH
State : WA
Zip : 98027-2483
Country : US
Telephone Number : 425-454-3938
Fax Number : 425-837-1460
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2005
Last Update Date : 07/08/2007

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Directions to “ MS. RHONDA JO RAVANI ARNP” Practice Location

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