Healthcare Provider Details

I. General information

NPI: 1306926332
Provider Name (Legal Business Name): NELINDA J RHODE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 03/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

513 S MUCKEY ST
MAPLETON IA
51034-1055
US

IV. Provider business mailing address

513 S MUCKEY ST
MAPLETON IA
51034-1055
US

V. Phone/Fax

Practice location:
  • Phone: 712-882-2200
  • Fax: 712-882-2790
Mailing address:
  • Phone: 712-882-2200
  • Fax: 712-882-2790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA059380
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: