MEDICARE: JANICE RHODES 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
1	363LF0000X	Family Nurse Practitioner	334461	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	161355553	OTHER		BUSINESS TAX ID
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700814696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANICE RHODES NP

Provider Business Mailing Address
First Line	:	302 HOFFMAN ST
Second Line	:
City	:	ELMIRA
State	:	NY
Zip	:	14905-2263
Country	:	US
Telephone Number	:	607-734-2264
Fax Number	:	607-767-0340

Provider Business Practice Location Address
First Line	:	3344 CHAMBERS RD STE 200
Second Line	:
City	:	HORSEHEADS
State	:	NY
Zip	:	14845-1403
Country	:	US
Telephone Number	:	607-734-2264
Fax Number	:	607-734-2932

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	03/17/2018

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