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NPI Code Detail

MEDICARE: BARBARA A RHOADES FNP

MEDICARE: BARBARA A RHOADES FNP
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 Practitioner444197CA

General Provider Information

NPI Number : 1215929914
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA A RHOADES FNP
Provider Business Mailing Address
First Line : 3400 DELTA FAIR BLVD
Second Line :
City : ANTIOCH
State : CA
Zip : 94509-4004
Country : US
Telephone Number : 925-779-5255
Fax Number :
Provider Business Practice Location Address
First Line : 3400 DELTA FAIR BLVD
Second Line :
City : ANTIOCH
State : CA
Zip : 94509-4004
Country : US
Telephone Number : 925-779-5255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2005
Last Update Date : 07/08/2007

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