Provider Demographics
NPI:1578225405
Name:RHODES, HEATHER (DNP, ARNP, AGCNS-BC)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:
Last Name:RHODES
Suffix:
Gender:F
Credentials:DNP, ARNP, AGCNS-BC
Other - Prefix:DR
Other - First Name:HEATHER
Other - Middle Name:RHODES
Other - Last Name:COBDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, ARNP, AGCNS-BC
Mailing Address - Street 1:1235 SW 132ND LN APT 931
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98146-4017
Mailing Address - Country:US
Mailing Address - Phone:802-343-3702
Mailing Address - Fax:
Practice Address - Street 1:701 PIKE ST STE 1900
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-3932
Practice Address - Country:US
Practice Address - Phone:206-614-1113
Practice Address - Fax:206-614-1175
Is Sole Proprietor?:No
Enumeration Date:2021-10-07
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00127991163W00000X
WAAP61037323364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse