Healthcare Provider Details

I. General information

NPI: 1245253921
Provider Name (Legal Business Name): TAMARA L RHODES RN, MSN, ARNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 04/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

517 36TH ST
PARKERSBURG WV
26101-1006
US

IV. Provider business mailing address

3605 MURDOCH AVE
PARKERSBURG WV
26101-1026
US

V. Phone/Fax

Practice location:
  • Phone: 304-485-1044
  • Fax: 304-422-1861
Mailing address:
  • Phone: 304-485-2700
  • Fax: 304-485-0481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number25520
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: