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NPI Code Detail

MEDICARE: HEATHER A RHODES MSN, FPMHNP

MEDICARE: HEATHER A RHODES MSN, FPMHNP
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
1163W00000XRegistered Nurse13-70739-052KS
2363LP0808XPsychiatric/Mental Health Nurse Practitioner2020032337MO
3363LP0808XPsychiatric/Mental Health Nurse Practitioner53-79222-052KS

General Provider Information

NPI Number : 1700420916
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER A RHODES MSN, FPMHNP
Provider Business Mailing Address
First Line : 17844 E 23RD ST S
Second Line :
City : INDEPENDENCE
State : MO
Zip : 64057-1840
Country : US
Telephone Number : 816-254-3652
Fax Number : 816-257-2575
Provider Business Practice Location Address
First Line : 17844 E 23RD ST S
Second Line :
City : INDEPENDENCE
State : MO
Zip : 64057-1840
Country : US
Telephone Number : 816-254-3652
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2019
Last Update Date : 05/20/2026

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