Doctor Name: | MS. RHONDA JO RAVANI |
NPI Number: | 1154303667 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | AP30004254 |
Business Practice Address: | 450 Nw Gilman Blvd #203 Issaquah, WA - 980272483 |
Business Phone Number: | 4254543938 |
Business Fax Number: | 4258371460 |
Mailing Address: | 1135 116th Ave Ne, #500 BELLEVUE |
State: | WA |
Postal Code: | 980044623 |
Phone Number: | 4254543938 |
Fax Number: | 4254542568 |
NPI Enumeration Date: | 11/18/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | AP30004254 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |