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NPI Code Detail

MEDICARE: DEBRA R RHOADES F.N.P.

MEDICARE: DEBRA R RHOADES F.N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner4704194818MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
143968000OTHEREDS
2500008029OTHERRR CARE
3500C610070OTHERBCBS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326043324
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA R RHOADES F.N.P.
Provider Business Mailing Address
First Line : 325 E H ST
Second Line :
City : IRON MOUNTAIN
State : MI
Zip : 49801-4760
Country : US
Telephone Number : 906-774-3300
Fax Number :
Provider Business Practice Location Address
First Line : 325 E H ST
Second Line :
City : IRON MOUNTAIN
State : MI
Zip : 49801-4760
Country : US
Telephone Number : 906-774-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 12/14/2018

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