Provider Demographics
NPI:1770101271
Name:RHIE, CONNIE M (ARNP, DNP)
Entity type:Individual
Prefix:
First Name:CONNIE
Middle Name:M
Last Name:RHIE
Suffix:
Gender:F
Credentials:ARNP, DNP
Other - Prefix:
Other - First Name:CONNIE
Other - Middle Name:M
Other - Last Name:RYU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP, DNP
Mailing Address - Street 1:PO BOX 50095
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98145-5095
Mailing Address - Country:US
Mailing Address - Phone:206-520-5700
Mailing Address - Fax:
Practice Address - Street 1:325 9TH AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2420
Practice Address - Country:US
Practice Address - Phone:206-520-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-10
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61287312363L00000X, 363LA2200X
NY309670363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1770101271Medicaid