Healthcare Provider Details

I. General information

NPI: 1831796549
Provider Name (Legal Business Name): SHERRI ANN RHODES DNP, PMHNP-NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2020
Last Update Date: 10/06/2020
Certification Date: 09/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5727 NORTH 7TH STREET SUITE 308
PHOENIX AZ
85014
US

IV. Provider business mailing address

9331 W CROWN KING RD
TOLLESON AZ
85353-5573
US

V. Phone/Fax

Practice location:
  • Phone: 304-237-0933
  • Fax:
Mailing address:
  • Phone: 304-237-0933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN190374
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License NumberRN190374
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License NumberRN190374
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN190374
License Number StateAZ
# 5
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN190374
License Number StateAZ
# 6
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number247597
License Number StateAZ
# 7
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number247597
License Number StateAZ
# 8
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number247597
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: