Healthcare Provider Details

I. General information

NPI: 1841631330
Provider Name (Legal Business Name): MATTHEW MICHAEL RHODES FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: MATTHEW MICHAEL PARR FNP

II. Dates (important events)

Enumeration Date: 07/11/2013
Last Update Date: 03/18/2022
Certification Date: 03/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2504 S RURAL RD
TEMPE AZ
85282-2429
US

IV. Provider business mailing address

3260 N HAYDEN RD STE 210
SCOTTSDALE AZ
85251-6651
US

V. Phone/Fax

Practice location:
  • Phone: 480-542-5590
  • Fax: 480-542-5591
Mailing address:
  • Phone: 480-542-5590
  • Fax: 480-542-5591

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN198428
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code163WP0000X
TaxonomyPain Management Registered Nurse
License NumberRN198428
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP8585
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAP8585
License Number StateAZ
# 5
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP8585
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: