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NPI Code Detail

MEDICARE: KATHERINE ANNE RHODES NPF

MEDICARE: KATHERINE ANNE RHODES NPF
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
1363L00000XNurse PractitionerNPF13582CA

General Provider Information

NPI Number : 1700986056
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE ANNE RHODES NPF
Provider Business Mailing Address
First Line : PO BOX 22210
Second Line :
City : OAKLAND
State : CA
Zip : 94623-2210
Country : US
Telephone Number : 510-535-4000
Fax Number : 510-535-4225
Provider Business Practice Location Address
First Line : 4351 BROADWAY
Second Line :
City : OAKLAND
State : CA
Zip : 94611-4612
Country : US
Telephone Number : 510-450-5421
Fax Number : 510-450-5461
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2006
Last Update Date : 08/23/2013

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