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NPI Code Detail

MEDICARE: MS. CARMEN ELIZABETH RHODES SHOWALTER NP

MEDICARE: MS. CARMEN ELIZABETH RHODES SHOWALTER NP
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
1363LF0000XFamily Nurse Practitioner0024183225VA

General Provider Information

NPI Number : 1184375263
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CARMEN ELIZABETH RHODES SHOWALTER NP
Provider Business Mailing Address
First Line : 882 COLLEGE AVE
Second Line :
City : HARRISONBURG
State : VA
Zip : 22802-5425
Country : US
Telephone Number : 540-209-1225
Fax Number :
Provider Business Practice Location Address
First Line : 101 HEARTLAND CT
Second Line :
City : DAYTON
State : VA
Zip : 22821-9000
Country : US
Telephone Number : 540-879-9002
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2022
Last Update Date : 01/11/2022

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