Provider Demographics
NPI:1649778010
Name:ERNESTO, RHONWYN SUZANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:RHONWYN
Middle Name:SUZANNE
Last Name:ERNESTO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6321 SEAVIEW AVE NW UNIT 19
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-2671
Mailing Address - Country:US
Mailing Address - Phone:206-781-1369
Mailing Address - Fax:
Practice Address - Street 1:6321 SEAVIEW AVE NW UNIT 19
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-2671
Practice Address - Country:US
Practice Address - Phone:206-781-1369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-31
Last Update Date:2018-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00020757207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology