Provider Demographics
NPI:1225290893
Name:RHODE, JANET MARIE (ARNP, MN)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:MARIE
Last Name:RHODE
Suffix:
Gender:F
Credentials:ARNP, MN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11240 12TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-6427
Mailing Address - Country:US
Mailing Address - Phone:206-819-7107
Mailing Address - Fax:206-365-0827
Practice Address - Street 1:11339 8TH AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-6110
Practice Address - Country:US
Practice Address - Phone:206-366-1771
Practice Address - Fax:206-365-0827
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30001880364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult