Provider Demographics
NPI:1508850108
Name:RODRIGUEZ, ASHLEY CARMEL (CRNP)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:CARMEL
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:CARMEL
Other - Last Name:ROSS, YOHO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2832A SW ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98126-2518
Mailing Address - Country:US
Mailing Address - Phone:443-695-6868
Mailing Address - Fax:
Practice Address - Street 1:1099 STEWART ST STE 900
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-2161
Practice Address - Country:US
Practice Address - Phone:206-777-6703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-09
Last Update Date:2019-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60182473363LF0000X
CA21747363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily