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NPI Code Detail

MEDICARE: EVELIEN RHODES

MEDICARE:   EVELIEN  RHODES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant0110011368VA

General Provider Information

NPI Number : 1174333793
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVELIEN RHODES
Provider Business Mailing Address
First Line : 736 BATTLEFIELD BLVD N
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23320-4941
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 736 BATTLEFIELD BLVD N
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23320-4941
Country : US
Telephone Number : 757-490-9388
Fax Number : 757-312-6181
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2025
Last Update Date : 12/09/2025

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Directions to “ EVELIEN RHODES ” Practice Location

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