Healthcare Provider Details

I. General information

NPI: 1033566690
Provider Name (Legal Business Name): JOEL A RHODES CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JOEL ANDREW RHODES CRNA

II. Dates (important events)

Enumeration Date: 05/24/2016
Last Update Date: 04/19/2021
Certification Date: 04/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 AMHERST ST
WINCHESTER VA
22601-2808
US

IV. Provider business mailing address

200 CAMPUS BLVD SUITE 100
WINCHESTER VA
22601
US

V. Phone/Fax

Practice location:
  • Phone: 540-536-8000
  • Fax: 540-536-7780
Mailing address:
  • Phone: 540-536-5100
  • Fax: 540-536-0235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number0024174844
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: